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Individual

LUKE NIENTIMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
300 STATE ST STE 103A, ERIE, PA 16507-1471
(814) 877-8540
(814) 877-8541
Mailing address
330 INDIANA DR, ERIE, PA 16505-2126
(814) 823-4803

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58.031336
OH
207R00000X
Internal Medicine Physician
Primary
OS022611
PA

Other

Enumeration date
04/01/2020
Last updated
06/13/2023
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