Provider Demographics
NPI:1801882147
Name:LUEBRECHT, SHERI MARIE (MD)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:MARIE
Last Name:LUEBRECHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MS
Mailing Address - Zip Code:39365-2702
Mailing Address - Country:US
Mailing Address - Phone:601-774-8150
Mailing Address - Fax:
Practice Address - Street 1:110 PINECREST DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MS
Practice Address - Zip Code:39365-2702
Practice Address - Country:US
Practice Address - Phone:601-774-8150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15054207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology