Organization
LUKING FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA RENAE LUKING (FNP-C/OWNER)
(812) 316-0707
Entity
Organization
Contact information
Practice address
903 N 7TH ST, VINCENNES, IN 47591-3107
(812) 316-0707
Mailing address
903 N 7TH ST, VINCENNES, IN 47591-3107
(812) 316-0707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004665A
IN
Other
Enumeration date
01/17/2017
Last updated
03/26/2018
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