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Individual

TARA L LUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
287 E HUNT HWY STE 105, SAN TAN VALLEY, AZ 85143-5096
(480) 677-8282
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2616
(480) 677-8282

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
248053
AZ
363L00000X
Nurse Practitioner
APN.0992938-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
090728
AZ
01
248053
NP LICENSE
AZ
05
308274100
FL
01
ARNP9202657
LICENSE
FL
Enumeration date
03/19/2007
Last updated
06/29/2021
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