Organization
DAVID L. LUKENS,D.O.,P.S.
Active
Parent organization
DAVID L. LUKENS, D.O.,P.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID L. LUKENS, D.O.,P.S.
Authorized official
DR. DAVID LEE LUKENS D.O. (PRESIDENT)
(253) 572-7101
Entity
Organization
Contact information
Practice address
1802 YAKIMA AVE, SUITE 304, TACOMA, WA 98405-4499
(253) 572-7101
(253) 572-9461
Mailing address
1802 YAKIMA AVE, SUITE 304, TACOMA, WA 98405-4499
(253) 572-7101
(253) 572-9461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000600
WA
208100000X
Physical Medicine & Rehabilitation Physician
OP00000600
WA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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