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Individual

DR. MICHAEL A. LUKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 GREAT RD, UNIT 205, NORTH SMITHFIELD, RI 02896-6833
(401) 766-4304
(401) 762-5107
Mailing address
501 GREAT RD, UNIT 205, NORTH SMITHFIELD, RI 02896-6833
(401) 766-4304
(401) 762-5107

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD06575
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000307
RI
Enumeration date
04/19/2006
Last updated
03/10/2008
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