Individual provider · Type 1 NPI

Kelly J. Lueck, FNP-C

Family Nurse Practitioner · Gilbert, AZ

NPI number 1578815809 Active

Practice location

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165

Fax (480) 256-3682

Mailing address

PO Box 6095
Bend, OR 97708-6095

Other practice locations

  • 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 · (270) 417-5911
  • 4312 N 7th Ave, Phoenix, AZ 85013-2903 · (602) 279-5049

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201610216NP-PP (OR)
General Practice Physician 208D00000XTAP4690 (AZ)
Family Nurse Practitioner 363LF0000X4042935 (KY)
Primary Care Nurse Practitioner 363LP2300XTAP4690 (AZ)
Family Medicine Physician 207Q00000XTAP4690 (AZ)
General Practice Physician 208D00000X201610216NP-PP (OR)

Family Nurse Practitioner: Definition to come...

148 other providers at this address

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About NPI 1578815809

Kelly J. Lueck, FNP-C's National Provider Identifier is 1578815809, issued on Oct 10, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gilbert, AZ. The record was last updated on Jul 3, 2025.