Individual
LUKE TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N JEFFERSON ST, LEWISBURG, WV 24901-1177
(304) 645-3220
(304) 647-1273
Mailing address
400 N JEFFERSON ST, LEWISBURG, WV 24901-1177
(304) 645-3220
(304) 647-1273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3327
WV
Other
Enumeration date
05/26/2016
Last updated
07/22/2019
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