Individual
DJIAN-LUKE TY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2386
(702) 774-5134
Mailing address
1856 JUPITER HILLS RD, CORONA, CA 92883-0660
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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