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Individual
LUKE LESLIE BURCHARD
Active
Individual
LUKE LESLIE BURCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350649
—
SC
01
—
P01196771
RAILROAD MEDICARE
SC
Enumeration date
01/23/2013
Last updated
02/10/2023
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