Individual
DR. BRIAN M LUKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
17140 BERNARDO CENTER DR STE 300, SAN DIEGO, CA 92128-2000
(858) 716-8100
(858) 716-8085
Mailing address
5385 CAMINO SANTANDER APT 69, SAN DIEGO, CA 92130-6549
(920) 698-6438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1915057
WI
103TC0700X
Clinical Psychologist
Primary
32601
CA
Other
Enumeration date
09/11/2006
Last updated
10/03/2023
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