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Individual
MRS. KSENIYA ALEKSEYEVNA LUECK
Active
Individual
MRS. KSENIYA ALEKSEYEVNA LUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
127741
IA
363A00000X
Physician Assistant
Primary
2976
NE
363A00000X
Physician Assistant
4444
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
10/25/2018
Last updated
02/05/2025
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