Individual
DONNA L LUEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-1221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP01209
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2068588
—
OH
01
—
60064734900
BWC
OH
Enumeration date
07/12/2006
Last updated
12/27/2021
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