Individual
MRS. PATRICIA ANN LUETKEMEIER
Active
Individual
MRS. PATRICIA ANN LUETKEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704232202
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4998504
—
MI
01
—
5008754770
BCBSM
MI
Enumeration date
06/11/2005
Last updated
02/15/2008
Update your record
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