Individual
DR. JENNIFER ADELE LUKOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450-3508
(585) 223-5920
(585) 223-5727
Mailing address
620 CROSSKEYS OFFICE PARK, FAIRPORT, NY 14450-3508
(585) 223-5920
(585) 223-5727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
O13343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112174FC
PREFERRED CARE
NY
05
—
7202631
—
NY
01
—
P010013343
BLUE CHOICE
NY
01
—
P020013343
BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/26/2006
Last updated
04/20/2012
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