Search › Virginia › 208M00000X
Luke Ennis
NPI 1184121279 · on the registry since 2018
Practice
- Address
- 3 Riverside Cir
Roanoke, VA 24016 - Phone
- (540) 224-5170
- Fax
- (540) 983-8229
- Organisation at this address
- Fmx Of Virginia, Llc
Carilion Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 229
Additional practice sites
- 1906 Belleview Ave Se, Roanoke, VA
- 3333 Silas Creek Pkwy, Winston Salem, NC
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia