| Dr Luke Llc | |
|
55 Brendon Way Suite 800 Zionsville IN 46077-1961 | |
| (317) 698-4792 | |
| Not Available |
| Full Name | Dr Luke Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 55 Brendon Way, Zionsville, Indiana |
| Authorized Official Name and Position | Luke G Nelligan (OWNER) |
| Authorized Official Contact | 3176984792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luke Llc 55 Brendon Way Suite 800 Zionsville IN 46077-1961 Ph: (317) 698-4792 | Dr Luke Llc 55 Brendon Way Suite 800 Zionsville IN 46077-1961 Ph: (317) 698-4792 |
| NPI Number | 1972725570 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972725570 | NPI | - | NPPES |
| 5428035 | Other | AETNA | |
| 000000520470 | Other | ANTHEM | |
| 768544 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02001548 (Indiana) | Primary |
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