MEDICARE: DR. ONZIE LUKE LPC

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
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1932538824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ONZIE LUKE LPC

Provider Business Mailing Address
First Line	:	3816 MORTON DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-1275
Country	:	US
Telephone Number	:	804-301-3854
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 E MAIN ST STE 212
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-7073
Country	:	US
Telephone Number	:	804-410-1483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2013
Last Update Date	:	03/09/2022

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