Individual
BLAKE WILLIAM LUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 W 5TH ST, STORM LAKE, IA 50588-3000
(712) 732-6650
Mailing address
PO BOX 41, EARLY, IA 50535-0041
(712) 299-2135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A184884
IA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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