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Individual

ELIZABETH ANNE LUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
3030 CHILDRENS WAY, SAN DIEGO, CA 92123
(858) 966-4003
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP12783
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135834
AZ
Enumeration date
10/20/2006
Last updated
09/19/2019
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