Individual
MICHAEL DAVID LUKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
901 SW MARTIN DOWNS BLVD, SUITE 200B, PALM CITY, FL 34990-2851
(772) 426-9944
Mailing address
901 SW MARTIN DOWNS BLVD, SUITE 200B, PALM CITY, FL 34990-2851
(772) 426-9944
(772) 286-4719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4410
FL
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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