Individual
DR. PHILLIP MARK LUECKENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2533 WOODSON RD, OVERLAND, MO 63114-5436
(314) 423-3874
Mailing address
2533 WOODSON RD, OVERLAND, MO 63114-5436
(314) 423-3874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2016020853
MO
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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