Provider Demographics
NPI:1609562735
Name:DRURY, LUKE JOSEPH
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:JOSEPH
Last Name:DRURY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 S BUSINESS PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-9030
Mailing Address - Country:US
Mailing Address - Phone:715-387-0484
Mailing Address - Fax:715-406-4175
Practice Address - Street 1:3800 S BUSINESS PARK AVE
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-9030
Practice Address - Country:US
Practice Address - Phone:715-387-0484
Practice Address - Fax:715-406-4175
Is Sole Proprietor?:No
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20161393207ZP0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology