Provider Demographics
NPI:1326116054
Name:GRANDE, LUKE FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:FRANCIS
Last Name:GRANDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3709 COREY PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016
Mailing Address - Country:US
Mailing Address - Phone:202-362-1625
Mailing Address - Fax:301-656-3437
Practice Address - Street 1:4701 WILLARD AVE
Practice Address - Street 2:204
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4643
Practice Address - Country:US
Practice Address - Phone:301-652-3462
Practice Address - Fax:301-656-3437
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0008992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry