Individual
DR. LUKE A. WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3040 N FIVE MILE RD, SUITE C, BOISE, ID 83713-5234
(208) 321-8484
(208) 321-5084
Mailing address
3555 N. COLE RD., APT. #303, BOISE, ID 83704-0751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1242
ID
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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