Lucke, Amanda Rebecca

Lucke, Amanda Rebecca is an individual health care provider with primary practice located at 11501 Cumberland Rd Ste 500 , Fishers IN 46037-7010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lucke, Amanda Rebecca can be contacted via phone (317) 863-9300.

Contact Information

Primary practice address
11501 Cumberland Rd Ste 500 Fishers IN 46037-7010
Phone: (317) 863-9300
Fax: (317) 863-9333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002639A Indiana

Profile Details

NPI number 1003083684
LBN Legal business name Lucke, Amanda Rebecca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Oct 30th, 2023 - about 3 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 1003083684 NPPES
Indiana Other IN1125030 MEDICARE PTAN
Indiana Other IN1126018 MEDICARE PTAN
Indiana MEDICAID 200921940 MEDICARE PTAN

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