DR. Phillip Mark Lueckenhoff, O.D.

NPI #1063862969 in Overland, Missouri

Provider Information

NPI Number: 1063862969
Entity Type: Individual
Name: DR. Phillip Mark Lueckenhoff, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 21, 2016
Last Updated: Jun 21, 2016

Practice Location

Address: 2533 WOODSON RD
City: Overland
State: Missouri
ZIP Code: 63114-5436
Phone: (314) 423-3874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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