Individual provider · Type 1 NPI

Luke Burkett Fondren, DO

Student in an Organized Health Care Education/Training Program · Foley, AL

NPI number 1255837886 Active

Practice location

1613 N Mckenzie St
Foley, AL 36535-2247

Call (251) 949-3400 Map

Mailing address

7856 Westside Park Dr Ste H
Mobile, AL 36695-8539

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000XDO.2036 (AL)
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 1255837886

Luke Burkett Fondren, DO's National Provider Identifier is 1255837886, issued on Apr 3, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Foley, AL. The record was last updated on Apr 2, 2020.