Individual
JAMES R LUEDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
INDEPENDENT DUTY HM
Contact information
Practice address
5722 INTEGRITY DRIVE, BLDG S771, NBHC, NSA MID-SOUTH, MILLINGTON, TN 38054
(901) 874-6100
Mailing address
5722 INTEGRITY DRIVE, C/O COMMANDER NAVY RECRUITING COMMAND, MILLINGTON, TN 38045-5057
(901) 874-9417
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
USN HM8425-9002
—
Other
Enumeration date
04/02/2006
Last updated
07/14/2008
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