Provider Demographics
NPI:1780413989
Name:LUEDTKE, HANNAH (MA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:LUEDTKE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2341 CHESTNUT ST APT 104
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2650
Mailing Address - Country:US
Mailing Address - Phone:612-965-3638
Mailing Address - Fax:
Practice Address - Street 1:1738 UNION ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4425
Practice Address - Country:US
Practice Address - Phone:612-965-3638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach