Luke Lenahan
Physician Assistant, Medical in Oakwood, GA. Individual provider (NPI-1).
NPI number1174922751
StatusActive
Last updated in NPPESMay 15, 2025
Details
- NPI
- 1174922751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Luke Lenahan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2014
- Certification date
- May 15, 2025
- Last updated
- May 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 7436 | GA | Yes |
| 363AS0400X | Physician Assistant, Surgical | 7436 | GA |
Practice location
3931 Mundy Mill Rd Ste AOakwood, GA 30566-3431
Phone 770-219-8275
Mailing address
3931 Mundy Mill Rd Ste AOakwood, GA 30566-3431
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