Individual
THERESA A LUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PUEBLO AT BATH STREETS, SANTA BARBARA, CA 93102
(805) 569-7510
(949) 366-2390
Mailing address
PO BOX 1359, SAN CLEMENTE, CA 92674-1359
(949) 492-3514
(949) 366-2390
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G56657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G566570
—
CA
Enumeration date
12/06/2006
Last updated
07/09/2007
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