Individual
MR. RICHARD CHARLES LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1410 EATONTON RD, MADISON, GA 30650-4600
(706) 342-7277
(706) 342-7278
Mailing address
85 RIVERBEND DRIVE, COVINGTON, GA 30014-1665
(770) 385-1580
(706) 342-7278
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002004
GA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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