Individual
MICHELLE LUEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3255 VICKSBURG LN N, PLYMOUTH, MN 55447-1317
(763) 235-8917
Mailing address
3255 VICKSBURG LN N, PLYMOUTH, MN 55447-1317
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121883
MN
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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