MEDICARE: DR. LUKE M WEBB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD0000039136	TN
2	207K00000X	Allergy & Immunology Physician	39136	TN

General Provider Information

NPI Number	:	1932161916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE M WEBB MD

Provider Business Mailing Address
First Line	:	135 BROADMOOR HILLS DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4384
Country	:	US
Telephone Number	:	719-527-0788
Fax Number	:

Provider Business Practice Location Address
First Line	:	2709 N TEJON ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-6231
Country	:	US
Telephone Number	:	719-473-0872
Fax Number	:	719-630-3658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	03/23/2012

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