Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 718 | NM |
NPI | 1053764944 |
---|---|
Provider Name | Catherine Lukes |
First Address | Albuquerque, NM 87106-4924 |
Second Address | Albuquerque, NM 87106-4924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2016 |
Last Update Date | 03/12/2020 |