Healthcare Provider Details

I. General information

NPI: 1659286276
Provider Name (Legal Business Name): LUKE ALAN GARE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5975 CARMEN AVE
INVER GROVE HEIGHTS MN
55076-4416
US

IV. Provider business mailing address

14209 11TH AVE S
BURNSVILLE MN
55337-4760
US

V. Phone/Fax

Practice location:
  • Phone: 651-455-9697
  • Fax: 855-281-2245
Mailing address:
  • Phone: 651-707-6866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number14655
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: