Provider Demographics
NPI:1285946996
Name:LUKENS, LORNA JEAN
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:JEAN
Last Name:LUKENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORNA
Other - Middle Name:JEAN
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95696-2000
Mailing Address - Country:US
Mailing Address - Phone:707-448-6841
Mailing Address - Fax:707-469-6054
Practice Address - Street 1:1600 CALIFORNIA DRIVE
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687
Practice Address - Country:US
Practice Address - Phone:707-448-6841
Practice Address - Fax:707-469-6054
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG257542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry