Individual
LUKE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 5TH AVE SW, ARDMORE, OK 73401-5256
(970) 803-2141
Mailing address
410 5TH AVE SW, ARDMORE, OK 73401-5256
(970) 803-2141
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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