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NPI Code Detail

MEDICARE: ASHLEY LUECKE PA-C

MEDICARE: ASHLEY LUECKE PA-C
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
1363A00000XPhysician Assistant8802-23WI

General Provider Information

NPI Number : 1437977238
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY LUECKE PA-C
Provider Business Mailing Address
First Line : 105 E LINCOLN AVE
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2019
Country : US
Telephone Number : 608-723-3100
Fax Number : 866-560-8783
Provider Business Practice Location Address
First Line : 105 E LINCOLN AVE
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2019
Country : US
Telephone Number : 608-723-3100
Fax Number : 866-560-8783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2024
Last Update Date : 02/09/2026

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Directions to “ ASHLEY LUECKE PA-C” Practice Location

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