Whalio Doctors

NPI 1053089540

Luke Hart

Practitioner Licensed Practical Nurse Hannibal, MO

Practice location

Address
4355 Paris Gravel Rd, Hannibal, MO 63401-6017
Phone
(573) 248-3811
Fax
(573) 248-3080
Mailing address
1601 Old South River Rd, Saint Charles, MO 63303-4120

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 2021032959 (MO)

Registry record

NPI
1053089540
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2021
Record last updated
31 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.