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NPI Code Detail

MEDICARE: PAMELA LUEBBE

MEDICARE: PAMELA LUEBBE
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
1183500000XPharmacist009645KY

General Provider Information

NPI Number : 1134402225
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA LUEBBE
Provider Business Mailing Address
First Line : 3608 TRAIL CREEK PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-6286
Country : US
Telephone Number : 502-426-4497
Fax Number :
Provider Business Practice Location Address
First Line : 5020 NORTON HEALTHCARE BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2835
Country : US
Telephone Number : 502-420-0169
Fax Number : 502-420-0166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2011
Last Update Date : 09/24/2011

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Directions to “ PAMELA LUEBBE ” Practice Location

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