Provider Demographics
NPI:1932197159
Name:LUKENS, WENDY A (PA-C)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:A
Last Name:LUKENS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1155
Mailing Address - Country:US
Mailing Address - Phone:610-691-3603
Mailing Address - Fax:610-861-8104
Practice Address - Street 1:701 OSTRUM ST
Practice Address - Street 2:SUITE 203
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1155
Practice Address - Country:US
Practice Address - Phone:610-691-3603
Practice Address - Fax:610-861-8104
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2007-08-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical