Lueking, Jena Raylynn-Gwendolyn

Lueking, Jena Raylynn-Gwendolyn is an individual health care provider with primary practice located at 117 Rodgers Dr , Holdenville OK 74848-2877. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Lueking, Jena Raylynn-Gwendolyn can be contacted via phone (405) 379-6668.

Contact Information

Primary practice address
117 Rodgers Dr Holdenville OK 74848-2877
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1174006050
LBN Legal business name Lueking, Jena Raylynn-Gwendolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2018
Last updated Sep 7th, 2018 - 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.

Request for update

Popular Providers