Individual
DR. LUKE SAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 AGEE ST, FARMVILLE, VA 23901-2617
(434) 392-6143
(434) 392-3866
Mailing address
202 AGEE ST, FARMVILLE, VA 23901-2617
(434) 392-6143
(434) 392-3866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101048599
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005849632
—
VA
Enumeration date
06/26/2006
Last updated
06/18/2008
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