Provider Demographics
NPI:1699456418
Name:LUKIN, EMMA (LSWAA)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:LUKIN
Suffix:
Gender:F
Credentials:LSWAA
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:5108 196TH ST SW STE 350
Mailing Address - Street 2:C/O RXDX MEDICAL BILLING SERVICES LLC, STE 310
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6169
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5108 196TH ST SW STE 350
Practice Address - Street 2:C/O RXDX MEDICAL BILLING SERVICES LLC, STE 310
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6169
Practice Address - Country:US
Practice Address - Phone:425-582-2041
Practice Address - Fax:425-527-0468
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)