Luke, Leslie Dale

Luke, Leslie Dale is an individual health care provider with primary practice located at 106 W. Edwards , Maryville MO 64468. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Luke, Leslie Dale can be contacted via phone (660) 562-2273.

Contact Information

Primary practice address
106 W. Edwards Maryville MO 64468
Phone: (660) 562-2273
Fax: (660) 562-3530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 122210 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 122210 Missouri

Profile Details

NPI number 1386614618
LBN Legal business name Luke, Leslie Dale
Credentials RNC FNP WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Mar 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386614618 NPPES
Missouri MEDICAID 424794410

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