| Doctor Name: | LUKE A. HERDINA |
| NPI Number: | 1720118912 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C |
| License Number: | 0630 |
| Business Practice Address: | 16830 198th Ave Nw Big Lake Clinic Big Lake, MN - 55309 |
| Business Phone Number: | 7632637300 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 539, 16830 198th Ave Nw Big Lake Clinic BIG LAKE |
| State: | MN |
| Postal Code: | 55309 |
| Phone Number: | 7632637300 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 05/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0630 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |