Individual
DR. JAMES GERARD LUETKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 CHRISTY DR, STE. 101, JEFFERSON CITY, MO 65101-5195
(573) 635-0115
(573) 635-0116
Mailing address
1705 CHRISTY DR, STE. 101, JEFFERSON CITY, MO 65101-5195
(573) 635-0115
(573) 635-0116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103154
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206647125
—
MO
Enumeration date
01/12/2007
Last updated
12/18/2007
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