| NPI | 1679783443 |
|---|---|
| Former Legal Business Name | THOMAS H. LUEPKE D.D.S. S.C. |
| Entity Type | Organization |
| Authorized Contact | OWEN W. JOHNSON Dentist 715-835-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-09-26 |