Luke Kirby Anderson
Student in an Organized Health Care Education/Training Program in Lubbock, TX. Individual provider (NPI-1).
NPI number1982195434
StatusActive
Last updated in NPPESMay 21, 2018
Details
- NPI
- 1982195434
- Entity type
- Individual (NPI-1)
- Name
- Luke Kirby Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2018
- Last updated
- May 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3601 4th St # Ms 8103Lubbock, TX 79430-0002
Phone 806-743-2800 · Fax 806-743-2784
Mailing address
3601 4th St # Ms 8103Lubbock, TX 79430-0002
Phone 806-743-2800 · Fax 806-743-2784
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