Individual
MR. WILLIAM BRIAN LUCHTEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10600 LEWIS AND CLARK BLVD, SAINT LOUIS, MO 63136-6005
(314) 286-6988
(314) 868-2561
Mailing address
2910 GILBERT LN, ALTON, IL 62002-5504
(618) 465-7470
(314) 868-2561
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101018
MO
Other
Enumeration date
04/05/2006
Last updated
01/16/2008
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