| Organization Name: | MICHAEL DAVID LUKENS, PHD., PA |
| NPI Number: | 1073742961 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL DAVID LUKENS (PRESIDENT) |
| Mailing Address: | 169 Tequesta Dr Suite 23e Tequesta |
| State: | FL US |
| Postal Code: | 334692768 |
| Phone Number: | 5617441169 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2009 |
| NPI Last Update Date: | 12/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY4410 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |