Dr. Luke E. Johnsen DO
Family Medicine Physician in St Petersburg, FL(View on Map)
Full Name
Dr. Luke Elhanan Johnsen DO
NPI Number
1780781591
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/20/2006
Specialties
(Taxonomies)Licenses
State
Florida
Maryland
License Number
OS15063
H63003
Contact
Information
Purpose
Mailing
Location
Address
3251 3RD AVE N
3251 3RD AVE N
City
St Petersburg
St Petersburg
State
FL
FL
Postal Code
33713-8506
33713
Country
US
US
Telephone Number
(727) 321-3854
(727) 321-3854
Identifiers
Identifier
6LR83A
024397500
JK078Z
Identifier State
FL
FL
FL
Identifier Issuer
BCBS
Unknown
MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/22/2019