Individual
MR. JON ROGER LUEBKE
Active
Individual
MR. JON ROGER LUEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00002958
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009LU
REGENCE
WA
01
—
0010LU
REGENCE
WA
01
—
0011LU
REGENCE
WA
01
—
0012LU
REGENCE
WA
01
—
0013LU
REGENCE
WA
01
—
0014LU
REGENCE
WA
01
—
0023LU
REGENCE
WA
01
—
0033LU
REGENCE
WA
01
—
0190810
LABOR AND INDUSTRIES
WA
01
—
0258191
L&I
WA
01
—
0258768
L&I
WA
01
—
0258807
L&I
WA
01
—
9141LU
REGENCE
WA
01
—
P00893797
RAILROAD MEDICARE
WA
Enumeration date
01/11/2007
Last updated
01/28/2013
Update your record
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