Individual
MRS. DIANE B LUEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
211 N 12TH ST, LEHIGHTON, PA 18235-1138
(570) 401-3960
(570) 325-8336
Mailing address
9 WHITE LN, JIM THORPE, PA 18229-1022
(570) 325-4170
(570) 325-8336
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TP006236C
PA
363LG0600X
Gerontology Nurse Practitioner
TP006235H
PA
Other
Enumeration date
01/18/2007
Last updated
05/18/2012
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