Leslie Dale Luke is a Family in Maryville, Missouri. Leslie Dale Luke practices all healthcare services and medical treatments related to Family. The NPI Number for Leslie Dale Luke is 1386614618. The last update date is 2009-03-02.
Leslie Dale Luke's current location address is 106 W. Edwards, Maryville, Missouri. You can contact this provider via phone number 6605622273 and fax number 6605623530. The mailing address for Leslie Dale Luke is 106 W. Edwards, Maryville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Dale Luke |
|---|---|
| Address | 106 W. Edwards, Maryville, Missouri |
| Phone Number | 6605622273 |
| Fax Number | 6605623530 |
| Sole Proprietor | N |
| Credentials | RNC FNP WH |
NPI Number Detail
| NPI Number | 1386614618 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2009-03-02 |
Provider Mailing Address Detail
| Address | 106 W. Edwards |
|---|---|
| City | Maryville |
| State | Missouri (MO) |
| Post Code | 64468 |
| Phone Number | 6605622273 |
| Fax Number | 6605623530 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 122210 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 424794410 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leslie Dale Luke by the Centers for Medicare & Medicaid Services?
The Leslie Dale Luke has been assigned the NPI (National Provider Identifier) 1386614618 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Leslie Dale Luke located?
The Leslie Dale Luke is located at 106 W. Edwards, Maryville, MO 64468.
What is the area of specialization for Leslie Dale Luke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leslie Dale Luke is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did Leslie Dale Luke receive its 1386614618 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Dale Luke was assigned its 1386614618 on 2006-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Leslie Dale Luke most recently updated or revised?
The information pertaining to Leslie Dale Luke, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-02.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY