Individual
DR. SPENCER KEVIN LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10709 S WALTON RD, LA GRANDE, OR 97850-8490
(541) 962-7753
Mailing address
10709 S WALTON RD, LA GRANDE, OR 97850-8490
(541) 962-7753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3427ATI
OR
152W00000X
Optometrist
8024988-9934
UT
Other
Enumeration date
07/06/2011
Last updated
09/16/2011
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