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Individual

DR. LUKE ALLEN MERTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RP

Contact information

Practice address
2605 S 171ST ST, OMAHA, NE 68130-2389
(402) 697-9393
(402) 697-0487
Mailing address
12943 ELLISON AVE, OMAHA, NE 68164-1294
(402) 341-5949

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11762
NE
183500000X
Pharmacist
19756
IA

Other

Enumeration date
12/12/2011
Last updated
12/12/2011
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