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Individual

DR. LUKE TYLER PETERSON

Active
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Individual

DR. LUKE TYLER PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
072079
GA
207W00000X
Ophthalmology Physician
Primary
20018-02590
NC
207W00000X
Ophthalmology Physician
23966
MS
207W00000X
Ophthalmology Physician
53018
TN
207W00000X
Ophthalmology Physician
E-9417
AR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
2018-02590
NC
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
23966
MS
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
E9417
AR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD81655
SC

Other

Enumeration date
04/26/2010
Last updated
03/01/2022
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