Organization
LUKE PROSTHETIC AND ORTHOTIC LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALAN LUKE CPO (OWNER, PROSTHETIC)
(740) 993-0066
Entity
Organization
Contact information
Practice address
315 E FOULKE AVE, FINDLAY, OH 45840-4619
(740) 993-0066
(419) 664-4629
Mailing address
117 E WALLACE ST, FINDLAY, OH 45840-5219
(419) 422-5009
(419) 422-6766
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LP-0069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000247835
ANTHEM BCBS
OH
05
—
2333808
—
OH
01
—
283749811-00
BWC
OH
Enumeration date
08/18/2005
Last updated
11/22/2021
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