Individual provider · Type 1 NPI
Luke Allen Harris, DMD
Student in an Organized Health Care Education/Training Program · Philadelphia, PA
NPI number
1043560113
Active
Practice location
1607 Kater St
Philadelphia, PA 19146
Mailing address
4440 Mccoy Rd
Blacksburg, VA 24060-0852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1043560113
Luke Allen Harris, DMD's National Provider Identifier is 1043560113, issued on Sep 14, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 27, 2012.