| NPI | 1750536587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY L.H. LUKE Owner 307-733-5676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 169260139) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |