Provider Demographics
NPI:1609392679
Name:LUKAVSKY, ERIKA MICHELLE (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:MICHELLE
Last Name:LUKAVSKY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MICHELLE
Other - Last Name:ARANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:19026 E WALNUT CT
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-2446
Mailing Address - Country:US
Mailing Address - Phone:707-334-7791
Mailing Address - Fax:
Practice Address - Street 1:40930 N IRONWOOD DR STE 109
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85140-8829
Practice Address - Country:US
Practice Address - Phone:480-347-0753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD011259122300000X
NMDD4753122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist