Provider Demographics
NPI:1164691036
Name:LUKEMEYER, ANITA
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:LUKEMEYER
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 1:8820 ANCHOR BAY CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-8210
Mailing Address - Country:US
Mailing Address - Phone:317-826-1853
Mailing Address - Fax:317-826-1938
Practice Address - Street 1:8820 ANCHOR BAY CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-8210
Practice Address - Country:US
Practice Address - Phone:317-826-1853
Practice Address - Fax:317-826-1938
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist