Individual
LUKE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 775-6600
Mailing address
2114 SIMS PL, LA CROSSE, WI 54601-6266
(913) 206-9485
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
12/30/2025
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