Lueck, Raymond
Lueck, Raymond is an sole proprietor health care provider with primary practice located at 2500 N Mayfair Rd Ste 560 , Wauwatosa WI 53226-1415. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Lueck, Raymond can be contacted via phone (414) 771-5002.Contact Information
Primary practice address
2500 N Mayfair Rd Ste 560
Wauwatosa WI 53226-1415
Phone: (414) 771-5002
Fax: (414) 771-2928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1434 | Wisconsin |
Profile Details
| NPI number | 1235235243 |
|---|---|
| LBN Legal business name | Lueck, Raymond |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235235243 | NPPES |
| Wisconsin | Other | 1434 | LICENSE NUMBER |
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