Provider Demographics
NPI:1659547479
Name:LUEKEN, LUEKE B (MD)
Entity Type:Individual
Prefix:
First Name:LUEKE
Middle Name:B
Last Name:LUEKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2760 S ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67210-1304
Mailing Address - Country:US
Mailing Address - Phone:316-652-0152
Mailing Address - Fax:316-652-0928
Practice Address - Street 1:2760 S ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67210-1304
Practice Address - Country:US
Practice Address - Phone:316-652-0152
Practice Address - Fax:316-652-0928
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-12887207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSH57491Medicare UPIN