Individual
DR. LUKE RICHARD FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036140866
IL
208800000X
Urology Physician
125.059642
IL
Other
Enumeration date
06/30/2011
Last updated
06/21/2016
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