Individual
DR. MARK G LUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Mailing address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
36899
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
36899
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01368992
—
CO
01
—
20031883
RAILROAD MEDICARE
CO
Enumeration date
08/22/2005
Last updated
05/31/2012
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