Provider Demographics
NPI:1518290782
Name:LUKER, PATRICE A (LMFT)
Entity Type:Individual
Prefix:MS
First Name:PATRICE
Middle Name:A
Last Name:LUKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:PATRICE
Other - Middle Name:A
Other - Last Name:KAHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1324 5TH NORTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-1514
Mailing Address - Country:US
Mailing Address - Phone:507-766-0076
Mailing Address - Fax:
Practice Address - Street 1:1324 5TH NORTH ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-1514
Practice Address - Country:US
Practice Address - Phone:507-766-0076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1780106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist