Individual
KATHERINE ELIZABETH LUEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 W HAMLET AVE, HAMLET, NC 28345-4522
(910) 205-0400
(910) 205-7796
Mailing address
PO BOX 1227, HAMLET, NC 28345-1227
(910) 205-7775
(910) 205-7796
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
186647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051719
—
NC
05
—
NAN472
—
SC
Enumeration date
10/19/2006
Last updated
07/09/2007
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