Individual
DR. LUKE PHILIP LANDOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 386-7679
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2024015928
MO
207L00000X
Anesthesiology Physician
OS19992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118400900
—
FL
05
—
200071922
—
MO
Enumeration date
03/18/2019
Last updated
11/25/2024
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