Individual
MR. LUKE A. JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
515 22ND AVENUE, MONROE CLINIC, MONROE, WI 53566-1569
(608) 324-2222
(740) 333-5171
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(740) 333-2234
(740) 333-3881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14520.NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098667
—
OH
Enumeration date
06/25/2013
Last updated
12/21/2020
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