Individual
DR. JESSICA MARIE LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
802 DIXIE ST, CARROLLTON, GA 30117-4416
(717) 512-8318
Mailing address
802 DIXIE ST, CARROLLTON, GA 30117-4416
(717) 512-8318
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
069830
GA
207L00000X
Anesthesiology Physician
OS-014160
PA
Other
Enumeration date
12/19/2006
Last updated
07/22/2013
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