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Individual

DR. EDDY D LUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1915 VALLEY VIEW BLVD REAR, ALTOONA, PA 16602-6527
(814) 941-1400
(814) 941-0862
Mailing address
PO BOX 1104, ALTOONA, PA 16603-1104
(814) 943-4116

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009604
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1575599
HIGHMARK BC/BS GROUP NUMB
PA
01
LU1840594
BS INDIV PROV NUMBER
PA
Enumeration date
07/13/2006
Last updated
07/08/2007
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