Individual
LUKE WALTER MELLENS
Active
Individual
LUKE WALTER MELLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041.371240
IL
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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