National Provider Identifier

Jennifer Adele Lukomski, PH.D.

Jennifer Adele Lukomski, PH.D. is listed in the NPPES registry with a primary specialty of Psychologist in Fairport, NY and a listed phone number of (585) 223-5920.

NPI 1942301346Fairport, NYPsychologist

Profile Overview

NPI
1942301346
Provider Type
Individual
Primary Specialty
Psychologist
Enumeration Date
September 26, 2006
Last Updated
April 20, 2012

Practice Location

  • 620 Crosskeys Office Park
  • Fairport, NY 14450-3508

Phone: (585) 223-5920

Specialties

  • Psychologist (103T00000X)
Full Record
NPI
1942301346
Entity Type
Individual
Last Name
Lukomski
First Name
Jennifer
Middle Name
Adele
Name Prefix
Dr.
Credential
PH.D.
Mailing Street Address
620 Crosskeys Office Park
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3508
Mailing Country
US
Mailing Phone
(585) 223-5920
Mailing Fax
(585) 223-5727
Practice Street Address
620 Crosskeys Office Park
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3508
Practice Country
US
Practice Phone
(585) 223-5920
Practice Fax
(585) 223-5727
Enumeration Date
September 26, 2006
Last Updated
April 20, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychologist (103T00000X)
Other Identifiers
P010013343 (NY, Blue Choice), P020013343 (NY, Blue Cross Blue Shield), 7202631 (NY), 112174FC (NY, Preferred Care)