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Individual

RICHARD ROBERT LUEKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL41096
SC
207RI0200X
Infectious Disease Physician
Primary
41096
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LL41096
SC
Enumeration date
05/30/2017
Last updated
06/21/2022
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