Individual
JESSICA LUECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 686-1200
(573) 778-0145
Mailing address
PO BOX 158, DUDLEY, MO 63936-0158
(573) 686-1200
(573) 778-0145
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
02/10/2014
Last updated
09/09/2024
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