Provider Demographics
NPI:1528667334
Name:LUKE HEALTHCARE LLC
Entity type:Organization
Organization Name:LUKE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCCHESE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:419-236-2651
Mailing Address - Street 1:5729 MARTIN RD APT 107
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-4955
Mailing Address - Country:US
Mailing Address - Phone:419-236-2651
Mailing Address - Fax:
Practice Address - Street 1:5729 MARTIN RD APT 107
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4955
Practice Address - Country:US
Practice Address - Phone:419-236-2651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care