# LUKE J DLABAL JR MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609921196
- **Authorized official:** DR. LUKE JACOB DLABAL JR. MD (OWNER PHYSICIAN)
- **Authorized official phone:** (816) 347-1514

## Contact information

- **Practice address:** 3601 NE RALPH POWELL RD, SUITE C, LEES SUMMIT, MO 64064-2357
- **Practice address phone:** (816) 347-1514
- **Practice address fax:** (816) 347-1822
- **Mailing address:** 3601 NE RALPH POWELL RD, SUITE C, LEES SUMMIT, MO 64064-2357
- **Mailing address phone:** (816) 347-1514
- **Mailing address fax:** (816) 347-1822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | M030680 | MO | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/01/2007