Provider Demographics
NPI:1033196332
Name:MORLEY, LUKE JOHN (DO)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:JOHN
Last Name:MORLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 OLD FARM LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-4088
Mailing Address - Country:US
Mailing Address - Phone:717-393-1511
Mailing Address - Fax:
Practice Address - Street 1:555 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-4978
Practice Address - Fax:717-544-7043
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013203207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013950710001Medicaid
PA1013950710001Medicaid
093076Medicare ID - Type Unspecified