Provider Demographics
NPI:1962226282
Name:LUIKART, AMBER
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:LUIKART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 TOWNSHIP ROAD 855
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9229
Mailing Address - Country:US
Mailing Address - Phone:419-685-4970
Mailing Address - Fax:
Practice Address - Street 1:1500 EAGLE WAY APT 106
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8929
Practice Address - Country:US
Practice Address - Phone:419-908-0313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care