Provider Demographics
NPI:1912133273
Name:LUKIN, NATHALIE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:NATHALIE
Middle Name:
Last Name:LUKIN
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:NATALYA
Other - Middle Name:
Other - Last Name:LUKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:223 ARBOR AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-1101
Mailing Address - Country:US
Mailing Address - Phone:831-427-2554
Mailing Address - Fax:831-427-2554
Practice Address - Street 1:223 ARBOR AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-1101
Practice Address - Country:US
Practice Address - Phone:831-427-2554
Practice Address - Fax:831-427-2554
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA233176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife