Individual
ELAINE K. LUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9449 W FOREST HOME AVE, HALES CORNERS, WI 53130-1611
(414) 529-6888
(414) 529-1271
Mailing address
529 COUNTRY CREST LN, WAUKESHA, WI 53188-3915
(262) 513-1242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
122-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42627000
—
WI
Enumeration date
04/16/2008
Last updated
04/16/2008
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