Provider Demographics
NPI:1346864584
Name:SICILIA, LUKE MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:MICHAEL
Last Name:SICILIA
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:102 WOODMONT BLVD STE 450
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5202
Mailing Address - Country:US
Mailing Address - Phone:678-426-2171
Mailing Address - Fax:404-446-1957
Practice Address - Street 1:1558 E TRINITY BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3609
Practice Address - Country:US
Practice Address - Phone:334-396-3338
Practice Address - Fax:334-244-4184
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2022-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL369213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist