MEDICARE: LUKAS SCHAFER

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	106H00000X	Marriage & Family Therapist	MFTC.0013954	CO
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1073094694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKAS SCHAFER

Provider Business Mailing Address
First Line	:	915 KING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3112
Country	:	US
Telephone Number	:	801-557-1233
Fax Number	:

Provider Business Practice Location Address
First Line	:	2406 W 32ND AVE STE D
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3373
Country	:	US
Telephone Number	:	801-557-1233
Fax Number	:

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

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	05/18/2020

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Directions to “ LUKAS SCHAFER ” Practice Location

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