Individual
DR. LUKE A RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1540 W CAYUSE CREEK DR, MERIDIAN, ID 83646-4795
(208) 258-6200
(208) 258-6204
Mailing address
1540 W CAYUSE CREEK DR, MERIDIAN, ID 83646-4795
(208) 258-6200
(208) 258-6204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100164
ID
Other
Enumeration date
07/01/2008
Last updated
03/15/2014
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