Organization
DR LUKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE G NELLIGAN DO (OWNER)
(317) 698-4792
Entity
Organization
Contact information
Practice address
55 BRENDON WAY, SUITE 800, ZIONSVILLE, IN 46077-1961
(317) 698-4792
Mailing address
55 BRENDON WAY, SUITE 800, ZIONSVILLE, IN 46077-1961
(317) 698-4792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001548
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000520470
ANTHEM
—
01
—
5428035
AETNA
—
01
—
768544
CIGNA
—
Enumeration date
05/03/2007
Last updated
10/17/2007
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