Provider Demographics
NPI:1770504441
Name:LUKACS, KAREN STEPHANIE (APN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:STEPHANIE
Last Name:LUKACS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2191 HUNTER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6705
Mailing Address - Country:US
Mailing Address - Phone:843-789-6544
Mailing Address - Fax:843-805-5957
Practice Address - Street 1:109 BEE ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-5703
Practice Address - Country:US
Practice Address - Phone:843-789-6544
Practice Address - Fax:843-805-5957
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC427363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health