Healthcare Provider Details

I. General information

NPI: 1083120687
Provider Name (Legal Business Name): JAMES STEPHEN LUKAS CRNP, FNP, PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2017
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 N MECHANIC ST
CUMBERLAND MD
21502-2113
US

IV. Provider business mailing address

257 OAKLAND DR STE 103
OAKLAND MD
21550-3228
US

V. Phone/Fax

Practice location:
  • Phone: 301-876-4889
  • Fax:
Mailing address:
  • Phone: 301-876-4889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP018271
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP022041
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR244372
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: