Individual
CRAIG ALAN LUETKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1014 MADISON ST, JEFFERSON CITY, MO 65101-3458
(573) 644-6999
(573) 644-7880
Mailing address
1014 MADISON ST, JEFFERSON CITY, MO 65101-3458
(573) 644-6999
(573) 644-7880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012016483
MO
Other
Enumeration date
06/15/2012
Last updated
02/11/2016
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