Individual
AMANDA LUEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1611 PROSPECT ST, LA CROSSE, WI 54603-2249
(608) 393-7554
Mailing address
1611 PROSPECT ST, LA CROSSE, WI 54603-2249
(608) 393-7554
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311168
WI
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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