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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
363L00000X
Nurse Practitioner
209023815
IL
363L00000X
Nurse Practitioner
Primary
7642
WI
363LF0000X
Family Nurse Practitioner
14520.NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0098667
OH
Enumeration date
06/25/2013
Last updated
05/26/2026
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