Individual
ALEXANDRA JACQUELINE LUKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
9305 MONROE RD STE L, CHARLOTTE, NC 28270-1490
(980) 819-0010
Mailing address
9305 MONROE RD STE L, CHARLOTTE, NC 28270-1490
(980) 819-0010
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZCF931976211225
BLUECROSS
SC
Enumeration date
07/13/2020
Last updated
07/13/2020
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