Individual provider · Type 1 NPI

Luka Anderson

Student in an Organized Health Care Education/Training Program · Bloomington, IL

NPI number 1083552319 Active

Practice location

1709 Jumer Dr Ste B
Bloomington, IL 61704-0914

Call (872) 239-8292 Map

Mailing address

227 S Orr Dr
Normal, IL 61761-3223

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1083552319

Luka Anderson's National Provider Identifier is 1083552319, issued on Mar 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 25, 2026.