TANNER LUKE

PROVO, UT
NPI1144924978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: UT  14237929-0501)
Enumeration Date2023-03-27
Last Update Date2026-06-22
Business Address
TANNER LUKE DPM
1001 N 500 W
PROVO, UT 84604-3305
Phone number: 877-674-1211
Mailing Address
TANNER LUKE DPM
8500 W 110TH ST STE 260
OVERLAND PARK, KS 66210-1892
Phone number:
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