NPI 1003009408
Lisa Wynland Lukianoff
Practice location
- Address
- 555 Northgate Dr Family Service Agency of Marin, San Rafael, CA 94903-3680
- Phone
- (415) 491-5700
- Mailing address
- PO Box 513, Forest Knolls, CA 94933-0513
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003009408
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Aug 2007
- Record last updated
- 20 Aug 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.