Individual
LUKE LEROY ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4328 PAGE AVE, MICHIGAN CENTER, MI 49254-1077
(517) 764-3609
Mailing address
4328 PAGE AVE, MICHIGAN CENTER, MI 49254-1077
(517) 764-3609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704196830
MI
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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