Provider Demographics
NPI:1629162375
Name:LAMOREE-LUKASAVAGE, SHARON A (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:LAMOREE-LUKASAVAGE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 33RD AVENUE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144
Mailing Address - Country:US
Mailing Address - Phone:505-891-1001
Mailing Address - Fax:
Practice Address - Street 1:1810 33RD AVE NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-8536
Practice Address - Country:US
Practice Address - Phone:505-891-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2130101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM202005401OtherPRESBYTERIAN BEHAVIORAL H
NMNM101634Medicaid