Individual
LISA LUKSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 WYOMING AVE, WYOMING, PA 18644-1366
(570) 406-1493
Mailing address
1150 WYOMING AVE, WYOMING, PA 18644-1366
(570) 406-1493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH001659
PA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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