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Individual

DR. RICHARD LAYNE LUEKENGA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
1054 EAST RIVERSIDE DR.,, SUITE 201, ST GEORGE, UT 84790-4825
(435) 688-8991
(435) 688-2122
Mailing address
1054 EAST RIVERSIDE DR, SUITE 201, ST GEORGE, UT 84790-4825
(435) 688-8991
(435) 688-2122

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
5935522-4101
UT
231H00000X
Audiologist
Primary
5935522-4101

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D6362
UT
Enumeration date
06/12/2006
Last updated
02/15/2012
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