Individual
DR. HERMAN H LUCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
7280 NW 87TH TER, SUITE 210, KANSAS CITY, MO 64153-3720
(816) 587-2626
(816) 587-2627
Mailing address
7280 NW 87TH TER STE 210, KANSAS CITY, MO 64153-3706
(816) 587-2626
(816) 587-2627
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY01499
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18054018
BCBS MISSOURI
MO
05
—
493269609
—
MO
01
—
701737
BCBS KANSAS
KS
Enumeration date
12/06/2006
Last updated
01/04/2014
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