Individual
GERALD J LUCHTEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3933 S BROADWAY, SAINT LOUIS, MO 63118
(314) 268-6144
Mailing address
940 WEST PORT PLAZA, STE 270, SAINT LOUIS, MO 63146
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
077785
MO
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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