MEDICARE: DAVID LUKENS MD PC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1457509408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID LUKENS MD PC

Provider Business Mailing Address
First Line	:	8182 HUNTERS PL
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9354
Country	:	US
Telephone Number	:	317-823-4770
Fax Number	:	317-823-1444

Provider Business Practice Location Address
First Line	:	1201 N POST RD
Second Line	:	SUITE 3
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4246
Country	:	US
Telephone Number	:	317-823-4770
Fax Number	:	317-823-1444

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID G LUKENS
Credential	:	MD
Telephone Number	:	317-823-4770

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	12/31/2008

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