Individual
MARIA M LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22840 CONRAD CT, MIDDLETON, ID 83644-5365
(208) 585-2208
Mailing address
22840 CONRAD CT, MIDDLETON, ID 83644-5365
(208) 585-2208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-45982
ID
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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