Individual
MCKENZIE LUEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 SE 4TH ST, EVANSVILLE, IN 47708-1607
(812) 426-9311
(812) 426-9839
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003101A
IN
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
11/10/2020
Last updated
03/11/2021
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