Luedke, George W.

Luedke, George W. is an individual health care provider with primary practice located at 1049 Claymont Dr , Lynchburg VA 24502-4481. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Luedke, George W. can be contacted via phone (434) 582-1600.

Contact Information

Primary practice address
1049 Claymont Dr Lynchburg VA 24502-4481
Fax: (434) 582-4807
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 0101031815 Virginia
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 0101031815 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101031815 Virginia

Profile Details

NPI number 1194719641
LBN Legal business name Luedke, George W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Apr 30th, 2018 - about 6 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 1194719641 NPPES
Other 186467 ANTHEM PROVIDER NUMBER
Other 001238 ANTHEM PROVIDER NUMBER
Other 84228M ANTHEM PROVIDER NUMBER
Other 20-3639329 ANTHEM PROVIDER NUMBER
Other 203639329001 ANTHEM PROVIDER NUMBER
Other 70985 ANTHEM PROVIDER NUMBER
MEDICAID 010220751 ANTHEM PROVIDER NUMBER

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