Mary K Lueckenhoff, OD Valid NPI
Individual provider · Optometrist · Saint Louis, MO
- NPI
- 1104842335
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- T02959 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-07-14
- Last updated
- 2022-11-11
Practice location
1 Barnes Jewish Hospital Plz, Div Optometry, 1st Fl
Saint Louis, MO 63110-1003
(314) 362-6123