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
Phone: (434) 582-1600
Fax: (434) 582-4807
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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