Individual
DR. JOHN RUSSELL LUELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-3418
(724) 773-4648
Mailing address
9011 PEREGRINE DR, GIBSONIA, PA 15044-8061
(412) 913-5634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD065589L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017116600001
—
PA
05
—
0017116600011
—
PA
05
—
2229190
—
OH
Enumeration date
06/30/2005
Last updated
04/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us