Provider Demographics
NPI:1093412868
Name:HARKSEN, LUKAS (DC)
Entity Type:Individual
Prefix:DR
First Name:LUKAS
Middle Name:
Last Name:HARKSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4425 HARBOR COUNTRY DR APT W195
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1872
Mailing Address - Country:US
Mailing Address - Phone:563-370-6504
Mailing Address - Fax:
Practice Address - Street 1:7108 PIONEER WAY STE A
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1178
Practice Address - Country:US
Practice Address - Phone:253-858-2474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61395793111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor