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Individual

MR. COREY LUKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1201 S CLEARVIEW PKWY BLDG B, NEW ORLEANS, LA 70121-1015
(504) 736-4800
Mailing address
23 FAIRWAY OAKS DR, NEW ORLEANS, LA 70131-3339

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08435
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01325751
MS
05
2400355
LA
Enumeration date
08/04/2015
Last updated
07/22/2016
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