| NPI | 1619049236 |
|---|---|
| Former Name | STACEY LYNN LUEKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A76660) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A76660) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |