Provider Demographics
NPI:1508025065
Name:LUKENS, MARGARET ELLEN (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELLEN
Last Name:LUKENS
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:2500 NE NEFF RD
Mailing Address - Street 2:ST CHARLES MEDICAL CENTER
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97759-6015
Mailing Address - Country:US
Mailing Address - Phone:541-410-2006
Mailing Address - Fax:541-385-6341
Practice Address - Street 1:2500 NE NEFF RD
Practice Address - Street 2:ST CHARLES MEDICAL CENTER
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6015
Practice Address - Country:US
Practice Address - Phone:541-410-2006
Practice Address - Fax:541-385-6341
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2020-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR200550051NP FNP PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily