Individual
CAITLIN LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 KOKOPELLI BLVD STE 1, FRUITA, CO 81521-3308
(970) 858-9894
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008858
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/10/2022
Last updated
10/23/2024
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