Individual provider · Type 1 NPI

Kali Luecke, PA-C

Medical Physician Assistant · Fargo, ND

NPI number 1881148005 Active

Practice location

301 Np Ave N
Fargo, ND 58102-4835

Call (701) 271-3344 Map

Fax (701) 271-1480

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X085.005909 (IL)
Medical Physician Assistant Primary 363AM0700XPAC0748 (ND)

Medical Physician Assistant: Definition to come...

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About NPI 1881148005

Kali Luecke, PA-C's National Provider Identifier is 1881148005, issued on Aug 4, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fargo, ND. The record was last updated on Jan 21, 2019.