MEDICARE: SHERI MARIE LUEBRECHT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	15054	MS

General Provider Information

NPI Number	:	1801882147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI MARIE LUEBRECHT M.D.

Provider Business Mailing Address
First Line	:	110 PINECREST DR
Second Line	:
City	:	UNION
State	:	MS
Zip	:	39365-2702
Country	:	US
Telephone Number	:	601-774-8150
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 PINECREST DR
Second Line	:
City	:	UNION
State	:	MS
Zip	:	39365-2702
Country	:	US
Telephone Number	:	601-774-8150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	02/22/2008

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