Individual
SHANON K LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1109 W CLAY RD, VERSAILLES, MO 65084-1177
(573) 378-2351
(866) 208-0157
Mailing address
305 W MAIN ST, SEDALIA, MO 65301-3821
(660) 826-4774
(866) 208-0157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2021020969
MO
Other
Enumeration date
06/27/2021
Last updated
12/03/2025
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