Gina M. Lukes | Los Alamitos, CA • PECOS Search

Gina M. Lukes

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3662 Katella Ave Ste 116, Los Alamitos, CA 90720-3126

(562) 431-8822 (949) 481-5553

PECOS Enrollment

Based on the most recent information from CMS, provider Gina M. Lukes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1033277637
Provider Type
Individual
Full Name
Lukes, Gina M.
Title
Mrs.
Credential
MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/5/2006
Last Updated
7/8/2007

Contact Information

Practice Location

3662 Katella Ave Ste 116, Los Alamitos, CA 90720-3126

(562) 431-8875

Mailing Location

5117 Costa Rustico, San Clemente, CA 92673-7120

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC36553 California