Individual
MEREDITH GRACE LUKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 PIN OAK DR, CARTERVILLE, IL 62918-1600
(618) 985-3333
(618) 985-1318
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006425
IL
Other
Enumeration date
09/12/2017
Last updated
12/19/2025
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