Luecker, Stephani Simon
Luecker, Stephani Simon is an individual health care provider with primary practice located at 1145 W Redondo Beach Blvd , Gardena CA 90247-3528. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Luecker, Stephani Simon can be contacted via phone (310) 538-6629.Contact Information
Primary practice address
1145 W Redondo Beach Blvd
Gardena CA 90247-3528
Phone: (310) 538-6629
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20A11735 | California |
Profile Details
| NPI number | 1659494557 |
|---|---|
| LBN Legal business name | Luecker, Stephani Simon |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2007 |
| Last updated | Jan 19th, 2017 - about 8 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 | 1659494557 | NPPES |
| California | Other | 20A11735 | MEDICAL LICENSE |
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