Provider Demographics
NPI:1215196738
Name:LUKIN, LAURA BARRERA (DDS)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:BARRERA
Last Name:LUKIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22167 WESTHEIMER PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8301
Mailing Address - Country:US
Mailing Address - Phone:281-599-8003
Mailing Address - Fax:281-599-7707
Practice Address - Street 1:22167 WESTHEIMER PKWY STE 110
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-8301
Practice Address - Country:US
Practice Address - Phone:281-599-8003
Practice Address - Fax:281-599-7707
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00228861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice