Individual
NIKITA LUKICHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5200 BECKNER RD, SANTA FE, NM 87507-3666
(310) 721-4398
Mailing address
5200 BECKNER RD, SANTA FE, NM 87507-3666
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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