Leslie Luke, Inc. is a Family in Maryville, Missouri. Leslie Luke, Inc. practices all healthcare services and medical treatments related to Family. The NPI Number for Leslie Luke, Inc. is 1578623476. The last update date is 2009-02-24.
Leslie Luke, Inc.'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 Luke, Inc. is 106 W. Edwards, Maryville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leslie Luke, Inc. |
|---|---|
| Address | 106 W. Edwards, Maryville, Missouri |
| Phone Number | 6605622273 |
| Fax Number | 6605623530 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Luke D Leslie |
| Credentials | RNC, FNP, |
| Telephone Number | 6605622273 |
NPI Number Detail
| NPI Number | 1578623476 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2009-02-24 |
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 |
|
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 |
|---|---|---|---|
| PENDING | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leslie Luke, Inc. by the Centers for Medicare & Medicaid Services?
The Leslie Luke, Inc. has been issued the NPI (National Provider Identifier) 1578623476 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Leslie Luke, Inc. located?
The Leslie Luke, Inc. is located at 106 W. Edwards, Maryville, MO 64468.
What is Leslie Luke, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Leslie Luke, Inc. is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Leslie Luke, Inc. receive its 1578623476 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Luke, Inc. was assigned its 1578623476 by the Centers for Medicare & Medicaid Services on 2006-12-11.
When was the information regarding Leslie Luke, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Leslie Luke, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-24.