Lueck, Kristin L

Lueck, Kristin L is an individual health care provider with primary practice located at 6650 Alton Pkwy , Irvine CA 92618-3734. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Lueck, Kristin L can be contacted via phone (888) 988-2800.

Contact Information

Primary practice address
6650 Alton Pkwy Irvine CA 92618-3734
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A78651 California

Profile Details

NPI number 1710938808
LBN Legal business name Lueck, Kristin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Dec 9th, 2021 - about 5 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 1710938808 NPPES
California Other 00A786510 MEDI-CAL PROVIDER #

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