Individual
MRS. LEIGH LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 316-2000
Mailing address
2106 WILLOWCREST DR, WAXHAW, NC 28173-6004
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
A3760
NC
Other
Enumeration date
06/01/2008
Last updated
06/01/2008
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