Individual
MRS. LISA MICHELLE LUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1 ROSE CT, GLEN CARBON, IL 62034-1392
(618) 340-1014
(618) 288-6416
Mailing address
1 ROSE CT, GLEN CARBON, IL 62034-1392
(618) 340-1014
(618) 288-6416
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
01873
MO
2251P0200X
Pediatric Physical Therapist
Primary
070-008073
IL
Other
Enumeration date
09/20/2006
Last updated
09/18/2014
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