Individual
LUKE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4355 PARIS GRAVEL RD, HANNIBAL, MO 63401-6017
(573) 248-3811
(573) 248-3080
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2021032959
MO
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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