Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marckenson Lucien, PA

Individual provider Physician Assistant · NPI 1750080891

Marckenson Lucien, PA is a Physician Assistant in San Luis, Arizona. Qualified in 2012, 14 years ago. Practices with San Luis Walk-In Clinic Inc, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

151 S Oak Ave Ste 7
San Luis, AZ 85336-0756
Phone: (928) 366-5166
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1233 N Main St Ste 1a, San Luis, AZ 85336-0663 — (928) 550-5514

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9545 (AZ)

Record details

NPI number1750080891
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice San Luis Walk-In Clinic Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at San Luis Walk-In Clinic Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 51 clinicians in the practice; 12 are shown here.

Other providers in San Luis