institution
Leslie Luke, Inc.
Family Nurse Practitioner in Maryville, Missouri
NPI 1578623476

Leslie Luke, Inc. is a Family Nurse Practitioner based in Maryville, MO and is specialized in Family. Leslie Luke, Inc. practices in Maryville, MO. The NPI Number for Leslie Luke, Inc. is 1578623476 and holds a License No. (Missouri).

The current practice location address for Leslie Luke, Inc. is 106 W. Edwards, Maryville, MO and can be reached out via phone at 660-562-2273 and via fax at 660-562-3530.

Location: 106 W. Edwards, Maryville, MO, 64468
institution
Provider Profile Details
NPI Number
1578623476
Provider Name
Leslie Luke, Inc.
Credential
Provider Entity Type
Organization
Address
106 W. Edwards, Maryville, MO, 64468
Phone Number
660-562-2273
Fax Number
660-562-3530
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 MO
institution
Provider Business Practice Location Address Details
Address
106 W. Edwards
City
State
Zip
64468
Phone Number
660-562-2273
Fax Number
660-562-3530
person
Provider Business Mailing Address Details
Address
106 W. Edwards
City
State
Zip
64468
Phone Number
660-562-2273
Fax Number
660-562-3530
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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