Individual
COLLIN LUKE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3801 BELLEMEADE AVE STE 110, EVANSVILLE, IN 47714-0111
(812) 485-8390
Mailing address
4536 BAYWOOD CT, EVANSVILLE, IN 47725-7545
(208) 860-6453
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
41000486A
ID
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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