MEDICARE: DR. STEPHEN Y. LUK DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	SC006480	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891136628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN Y. LUK DPM

Provider Business Mailing Address
First Line	:	1600 ARCH ST APT 1007
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-2009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 ARCH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-2028
Country	:	US
Telephone Number	:	215-987-1033
Fax Number	:

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

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	09/22/2023

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