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NPI Code Detail

MEDICARE: SARA LUKKASON

MEDICARE: SARA LUKKASON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorBBH-MFLC-LIC-72407MT

General Provider Information

NPI Number : 1689405466
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA LUKKASON
Provider Business Mailing Address
First Line : 950 STONERIDGE DR STE 1
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7063
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 STONERIDGE DR STE 1
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7063
Country : US
Telephone Number : 406-624-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2024
Last Update Date : 03/02/2026

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Directions to “ SARA LUKKASON ” Practice Location

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