BLAKE ALAN LUEBBEHUSEN

ELKHART, IN
NPI1154925907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71010668A)
Enumeration Date2020-11-23
Last Update Date2021-03-30
Business Address
BLAKE ALAN LUEBBEHUSEN MSN, RN, NP-C
500 ARCADE AVE STE 210
ELKHART, IN 46514-2485
Phone number: 574-389-5656
Mailing Address
BLAKE ALAN LUEBBEHUSEN MSN, RN, NP-C
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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