Individual
MR. LANLEN LUKE VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4414 LAKE BOONE TRL STE 502, RALEIGH, NC 27607-7521
(919) 875-0539
(919) 875-1051
Mailing address
4414 LAKE BOONE TRL STE 502, RALEIGH, NC 27607-7521
(919) 875-0539
(919) 875-1051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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