Individual
MS. LISA MARIE LUETKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
844 PASSOVER RD, OSAGE BEACH, MO 65065-2834
(573) 348-2225
Mailing address
316 ROCKY LEDGE CIR, CAMDENTON, MO 65020-3933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001026969
MO
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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