MRS. Kseniya Alekseyevna Lueck, PA-C

NPI #1306313531 in Elkhorn, Nebraska

Provider Information

NPI Number: 1306313531
Entity Type: Individual
Name: MRS. Kseniya Alekseyevna Lueck, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 25, 2018
Last Updated: Feb 5, 2025

Practice Location

Address: 1625 N 205TH ST
City: Elkhorn
State: Nebraska
ZIP Code: 68022-4885
Phone: (402) 758-5452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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