MEDICARE: SARAH LUKENS PSY.D.

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1306119862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LUKENS PSY.D.

Provider Business Mailing Address
First Line	:	2424 S BANNOCK ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-4315
Country	:	US
Telephone Number	:	413-695-3241
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 S JACKSON ST STE 601
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3805
Country	:	US
Telephone Number	:	720-588-0480
Fax Number	:

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

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	02/06/2019

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