Individual
ALEX LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7113
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35200
NE
207Y00000X
Otolaryngology Physician
A208072
CA
208D00000X
General Practice Physician
Primary
35200
NE
Other
Enumeration date
03/04/2021
Last updated
06/26/2026
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