Luedke, Susan L

Luedke, Susan L is an individual health care provider with primary practice located at 6435 Chippewa St , Saint Louis MO 63109-2104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Luedke, Susan L can be contacted via phone (315) 353-1870.

Contact Information

Primary practice address
6435 Chippewa St Saint Louis MO 63109-2104
Phone: (315) 353-1870
Fax: (314) 353-0315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X R8493 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R8493 Missouri

Profile Details

NPI number 1679519508
LBN Legal business name Luedke, Susan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Dec 15th, 2010 - about 15 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 1679519508 NPPES
Missouri MEDICAID 200731842

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