Lukach, Allen L

Lukach, Allen L is an individual health care provider with primary practice located at 620 N 12Th Ave , Sturgeon Bay WI 54235-1249. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lukach, Allen L can be contacted via phone (920) 743-9954.

Contact Information

Primary practice address
620 N 12Th Ave Sturgeon Bay WI 54235-1249
Phone: (920) 743-9954
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7254-123 Wisconsin

Profile Details

NPI number 1538120993
LBN Legal business name Lukach, Allen L
Credentials LCSW, CADC III
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538120993 NPPES
Wisconsin MEDICAID 39169900

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