Organization
LESLIE LUKE, INC.
Active
Other names
The Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE D LUKE RNC, FNP, WHNP (OWNER)
(660) 562-2273
Entity
Organization
Contact information
Practice address
106 W. EDWARDS, MARYVILLE, MO 64468
(660) 562-2273
(660) 562-3530
Mailing address
106 W. EDWARDS, MARYVILLE, MO 64468
(660) 562-2273
(660) 562-3530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
12/11/2006
Last updated
02/24/2009
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