| NPI | 1790345106 |
|---|---|
| Former Name | LISA M LUEPKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 186139) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-09-30 |