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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1659494557 NPPES
California Other 20A11735 MEDICAL LICENSE

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