Provider Demographics
NPI:1902003213
Name:LUKE, PRISCILLA K (MD)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:K
Last Name:LUKE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14726 RAMONA AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5730
Mailing Address - Country:US
Mailing Address - Phone:626-305-9100
Mailing Address - Fax:626-305-0152
Practice Address - Street 1:1845 W REDLANDS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-3125
Practice Address - Country:US
Practice Address - Phone:909-363-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2024-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA107548207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology