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Luke Ekstrom

NPI 1740821362 · on the registry since 2019

Practice

Address
1349 Warren Williams Rd
Columbus, GA 31901
Phone
(850) 607-6910
Fax
(850) 607-6932

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia