MAXINE LUECKENOTTE

SAINT LOUIS, MO
NPI1750318572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  067290)
Enumeration Date2006-06-27
Last Update Date2018-01-24
Business Address
Ms. MAXINE LUECKENOTTE FNP
10 BARNES WEST DR POB 2 STE 200
SAINT LOUIS, MO 63141-6287
Phone number: 314-996-3198
Mailing Address
Ms. MAXINE LUECKENOTTE FNP
660 S EUCLID AVE C B 8127
SAINT LOUIS, MO 63110-1010
Phone number: 314-434-7775
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