Dr. Luke Tae Jong Moore
Ophthalmologist
400 E 3rd St
Duluth
, Minnesota 55805-1951
Dr. Luke Tae Jong Moore
Ophthalmologist
400 E 3rd St
Duluth
, Minnesota 55805-1951
(218) 783-8364
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Luke Tae Jong Moore
- 400 E 3rd St
- Duluth, MN
- Zip : 55805-1951
- Phone : (218) 783-8364
Second Address
- Dr. Luke Tae Jong Moore
- 400 E 3rd St
- Duluth, MN
- Zip : 55805-1951
- Phone : (218) 786-8364
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 63520 | MN |
National Provider Identifier
| NPI | 1023452182 |
|---|---|
| Provider Name | Dr. Luke Tae Jong Moore |
| First Address | Duluth, MN 55805-1951 |
| Second Address | Duluth, MN 55805-1951 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2013 |
| Last Update Date | 15/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.