MEDICARE: VICTORIA LUEBCKE

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	390200000X	Student in an Organized Health Care Education/Training Program		MO

General Provider Information

NPI Number	:	1942131917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA LUEBCKE

Provider Business Mailing Address
First Line	:	5302 CROWN JEWEL CIR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-7768
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5302 CROWN JEWEL CIR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-7768
Country	:	US
Telephone Number	:	636-293-4694
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

Similar Medicare Providers

1164351623 — THE OAKS SENIOR LIVING OPERATIONS LLC
Practice Location Address:

707 EMGE RD
O FALLON, MO
63366-2118

Practice Phone: 636-542-5220
Practice Fax:

1588594550 — DREW ELIZABETH ADAMS PLPC
Practice Location Address:

105 CHURCH ST
O FALLON, MO
63366-2894

Practice Phone: 636-294-5787
Practice Fax: 636-200-1985

1164932893 — PHYSICIAN MANAGEMENT SERVICES OF SOUTHERN MISSOURI, LLC
Practice Location Address:

1002 PERUQUE CROSSING CT
O FALLON, MO
63366-2362

Practice Phone: 888-829-8550
Practice Fax:

1851221410 — COLLEEN TEMAJ PEREZ
Practice Location Address:

226 STONE CREEK VALLEY DR
O FALLON, MO
63366-5420

Practice Phone: 636-777-0781
Practice Fax:

1275004798 — JEREMY M KERTZ DPT
Practice Location Address:

343 WINDING WOODS CTR
O FALLON, MO
63366-4170

Practice Phone: 636-439-2004
Practice Fax: 636-439-2054

1326976903 — OBASI NURSING SERVICES, INC
Practice Location Address:

521 BROOKSIDE FOREST CT
O FALLON, MO
63366-5089

Practice Phone: 314-427-2033
Practice Fax:

Directions to “ VICTORIA LUEBCKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.