Individual
MRS. STEPHANY RENEE LUCHTEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
159 E MCARTHUR DR, BETHALTO, IL 62010
(618) 258-7504
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017039611
MO
Other
Enumeration date
04/20/2018
Last updated
05/31/2018
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