Michael David Lukens, Phd., PA

NPI #1073742961 in Tequesta, Florida

Provider Information

NPI Number: 1073742961
Entity Type: Organization
Organization Name: Michael David Lukens, Phd., PA
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jul 13, 2009
Last Updated: Dec 17, 2009

Practice Location

Address: 169 TEQUESTA DR
Address 2: SUITE 23E
City: Tequesta
State: Florida
ZIP Code: 33469-2768
Phone: (561) 744-1169

Authorized Official

Name: DR. MICHAEL DAVID LUKENS, PH.D
Title: PRESIDENT
Phone: (561) 744-1169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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