Individual
DR. MARY K LUECKENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV OPTOMETRY, 1ST FL, SAINT LOUIS, MO 63110-1003
(314) 362-6123
(314) 747-3726
Mailing address
660 S EUCLID AVE, CB 8096, SAINT LOUIS, MO 63110-1010
(314) 362-3937
(314) 747-9478
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02959
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313588709
—
MO
Enumeration date
07/14/2006
Last updated
11/11/2022
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