Individual
MR. CRAIG ALAN LUEBKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
160 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-0830
(262) 249-0835
Mailing address
PO BOX 100, ZENDA, WI 53195-0100
(262) 249-0830
(262) 249-0835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3556-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10671
DEAN CARE
WI
01
—
2146947
CIGNA
—
01
—
242216000
MAGELLAN BID HEALTH
—
01
—
39637100
CENPATICO
WI
05
—
39637100
—
WI
01
—
574220698004
BCBS
WI
Enumeration date
09/12/2005
Last updated
12/12/2016
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