Active NPI
Lynne Marie Lukach, MR CCC SLP
- Speech-Language Pathologist
- Mansfield, OH
National Provider Identifier
1164520649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2476
- Practice address
- 270 Sterkel Blvd
Mansfield, OH 44907-2207 - Phone
- (419) 756-1133
- Fax
- (419) 756-6544
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP2476 | OH | Primary |
Addresses
Primary practice location
270 Sterkel Blvd
Mansfield, OH 44907-2207
Mailing address
605 Clifton Blvd
Mansfield, OH 44907-2207
Phone (419) 756-2685
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3407897499217 | Other | ANTHEM | |
| 0000001253559 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP2476 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164520649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 CLIFTON BLVD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072207",
"telephone_number": "419-756-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 STERKEL BLVD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072207",
"telephone_number": "419-756-1133",
"fax_number": "419-756-6544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKACH",
"first_name": "LYNNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MR CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP2476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "3407897499217",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0000001253559",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.