Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB DYLAN LUKE, RN
Active Sole ProprietorJACOB DYLAN LUKE, RN is a Medical Specialty Clinic healthcare provider located in PLACERVILLE, California. NPI 1114780764 is currently active in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · PLACERVILLE, CA
Registration Details
- NPI Number
- 1114780764
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2024 (2.5541679484849 yrs)
- Last Updated
- Feb 5, 2024
- License
-
95345401 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
935B SPRING STPLACERVILLE, CA, 956674523Browse CA providers · Browse ZIP 95667
- Phone
- 5306216213
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.