| Doctor Name: | MRS. PAMELA S LUKE |
| NPI Number: | 1023218674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R853758 |
| Business Practice Address: | 1551 W Government St Brandon, MS - 390422408 |
| Business Phone Number: | 6018253163 |
| Business Fax Number: | 6018257893 |
| Mailing Address: | 305 Willow Run, PEARL |
| State: | MS |
| Postal Code: | 392088075 |
| Phone Number: | 6017509742 |
| Fax Number: | 6018257893 |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R853758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |