Provider Demographics
NPI:1053134528
Name:LUCORE, SARAH KATHERINE
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHERINE
Last Name:LUCORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13125 BAY CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3751
Mailing Address - Country:US
Mailing Address - Phone:907-980-2007
Mailing Address - Fax:
Practice Address - Street 1:13125 BAY CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3751
Practice Address - Country:US
Practice Address - Phone:907-980-2007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor