Organization
LUKE A. RANDALL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUKE A. RANDALL O.D. (PRESIDENT)
(208) 473-0172
Entity
Organization
Contact information
Practice address
7319 W STATE ST, BOISE, ID 83714-6051
(208) 853-4786
Mailing address
112 W CLAIRE ST, MERIDIAN, ID 83646-7521
(208) 473-0172
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100164
ID
Other
Enumeration date
11/13/2010
Last updated
11/13/2010
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