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
Fax: (414) 771-2928
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235235243 NPPES
Wisconsin Other 1434 LICENSE NUMBER

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