Individual
MISS SARAH IRENE LUKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
7883 N STATE ROAD 39, LIZTON, IN 46149-9575
(317) 994-4090
Mailing address
8227 NORTHWEST BLVD, SUITE 160, INDIANAPOLIS, IN 46278-1387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001510A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36001510A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
09/08/2011
Last updated
09/08/2011
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