Individual provider · Type 1 NPI

Samantha Lynn Luedeke

Student in an Organized Health Care Education/Training Program · Fairborn, OH

NPI number 1184175291 Active

Practice location

1508 Bell Pepper Ct, Apt 202
Fairborn, OH 45324-9007

Call (419) 629-3257 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184175291

Samantha Lynn Luedeke's National Provider Identifier is 1184175291, issued on Oct 24, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairborn, OH. The record was last updated on Oct 24, 2016.