| Doctor Name: | JOHNNA DUKES |
| NPI Number: | 1629399910 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ABOC |
| License Number: | 155315 |
| Business Practice Address: | 1306 18th St Suite E Spirit Lake, IA - 513601163 |
| Business Phone Number: | 7123364401 |
| Business Fax Number: | 7123364403 |
| Mailing Address: | 1306 18th St, Suite E SPIRIT LAKE |
| State: | IA |
| Postal Code: | 513601163 |
| Phone Number: | 7123364401 |
| Fax Number: | 7123364403 |
| NPI Enumeration Date: | 06/21/2010 |
| NPI Last Update Date: | 03/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 155315 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |