Healthcare Provider Details

I. General information

NPI: 1215860531
Provider Name (Legal Business Name): FATMA LUKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1456 S 615 W
OREM UT
84058-7596
US

IV. Provider business mailing address

1456 S 615 W
OREM UT
84058-7596
US

V. Phone/Fax

Practice location:
  • Phone: 402-208-3064
  • Fax:
Mailing address:
  • Phone: 402-208-3064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number13580948-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: