Provider Demographics
NPI:1437830056
Name:LUKASSEN, BARBARA A
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:LUKASSEN
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:PO BOX 149
Mailing Address - Street 2:
Mailing Address - City:DIX
Mailing Address - State:NE
Mailing Address - Zip Code:69133-0149
Mailing Address - Country:US
Mailing Address - Phone:308-682-5226
Mailing Address - Fax:
Practice Address - Street 1:304 HORRUM ST
Practice Address - Street 2:
Practice Address - City:DIX
Practice Address - State:NE
Practice Address - Zip Code:69133-8960
Practice Address - Country:US
Practice Address - Phone:308-682-5226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion