| Luke Healthcare Llc | |
|
5729 Martin Rd Apt 107 Plano TX 75024-4955 | |
| (419) 236-2651 | |
| Not Available |
| Full Name | Luke Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5729 Martin Rd Apt 107, Plano, Texas |
| Authorized Official Name and Position | Christopher Lucchese (OWNER) |
| Authorized Official Contact | 4192362651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Healthcare Llc 5729 Martin Rd Apt 107 Plano TX 75024-4955 Ph: (419) 236-2651 | Luke Healthcare Llc 5729 Martin Rd Apt 107 Plano TX 75024-4955 Ph: (419) 236-2651 |
| NPI Number | 1528667334 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 10/22/2020 |
| Medicare PECOS PAC ID | 7618389024 |
|---|---|
| Medicare Enrollment ID | O20201209000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528667334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Christopher Lucchese |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427056639 PECOS PAC ID: 9032007935 Enrollment ID: I20120314000529 |
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