| Doctor Name: | MR. LUKE LENAHAN |
| NPI Number: | 1174922751 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3931 Mundy Mill Rd., Ste B, Oakwood, GA - 30566 |
| Business Phone Number: | 7702198275 |
| Business Fax Number: | |
| Mailing Address: | 3931 Mundy Mill Rd., Ste B,, OAKWOOD |
| State: | GA |
| Postal Code: | 30566 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2014 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |