Individual
JAMIE J LUECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
302 W HAY ST STE 140, DECATUR, IL 62526-4168
(217) 872-2713
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009034
IL
Other
Enumeration date
10/12/2011
Last updated
07/12/2024
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