Individual
MARY LAUREN LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Mailing address
670 LEIGH DR, COLUMBUS, MS 39705-3014
(662) 328-1012
(662) 328-1507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5877
MS
225100000X
Physical Therapist
PTH7949
AL
Other
Enumeration date
12/16/2015
Last updated
04/13/2023
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