Individual
LUKE KENNETH DOMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9441
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D96258
MD
208600000X
Surgery Physician
MT215189
PA
Other
Enumeration date
03/21/2018
Last updated
03/23/2023
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