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NPI Code Detail

MEDICARE: IAN LUEPKER ND

MEDICARE: IAN LUEPKER ND
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
1175F00000XNaturopath1507OR

General Provider Information

NPI Number : 1669605556
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN LUEPKER ND
Provider Business Mailing Address
First Line : 1607 SISKIYOU BLVD
Second Line :
City : ASHLAND
State : OR
Zip : 97520-2400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1607 SISKIYOU BLVD
Second Line :
City : ASHLAND
State : OR
Zip : 97520-2400
Country : US
Telephone Number : 541-482-2824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2009
Last Update Date : 08/26/2009

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