Individual
LUKE GIBSON RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 HAWK RIDGE DR, HAMBURG, PA 19526-9219
(610) 562-3066
(610) 562-3125
Mailing address
2787 BRIDLE PATH ST, SLATINGTON, PA 18080-4033
(484) 226-5815
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OT020721
PA
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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