Individual
NINA MARIE LUEBKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 413, MILWAUKEE, WI 53201-0413
(414) 229-3360
Mailing address
N93W25933 COUNTRY CT, COLGATE, WI 53017-9663
(262) 820-0248
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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