Provider Demographics
NPI:1215198890
Name:LUECK, LOWELL ORRIN (LMFT)
Entity Type:Individual
Prefix:MR
First Name:LOWELL
Middle Name:ORRIN
Last Name:LUECK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 BUSINESS PARK SOUTH
Mailing Address - Street 2:100
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0721
Mailing Address - Country:US
Mailing Address - Phone:661-205-5018
Mailing Address - Fax:661-589-2143
Practice Address - Street 1:5401 BUSINESS PARK S
Practice Address - Street 2:100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0721
Practice Address - Country:US
Practice Address - Phone:661-205-5018
Practice Address - Fax:661-589-2143
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30424106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist