Individual
LUKE TRISTAN ROSEBRAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
605 W LINCOLN, LINDSBORG, KS 67456
(785) 227-3371
(785) 227-3004
Mailing address
605 W LINCOLN, LINDSBORG, KS 67456
(785) 227-3371
(785) 227-3004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-39237
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201173400A
—
KS
Enumeration date
05/11/2015
Last updated
03/20/2020
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