LESLIE LUKE INC. NPI 1578623476

NPI Information

NPI: 1578623476
Provider Name: LESLIE LUKE, INC.

Doing Business As: THE CARE CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
106 W. EDWARDS
MARYVILLE, MO
ZIP 64468
Phone: (660) 562-2273
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LESLIE LUKE, INC. is a family nurse practitioner in Maryville, MO. LESLIE LUKE, INC. NPI is 1578623476. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Care Clinic.

The provider's business location address is:

106 W. EDWARDS
MARYVILLE, MO
ZIP 64468
Phone: (660) 562-2273
Fax: (660) 562-3530

The provider's authorized official is Leslie D Luke .
The authorized official title is Owner and has the following contact phone number (660) 562-2273.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 2/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	PENDING
2	PENDING	MEDICARE UPIN	MISSOURI
3	PENDING	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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