Dr. Mary K Lueckenhoff, OD
Optometrist in Saint Louis, MO. Individual provider (NPI-1).
NPI number1104842335
StatusActive
Last updated in NPPESNov 11, 2022
Details
- NPI
- 1104842335
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary K Lueckenhoff
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2006
- Certification date
- Nov 11, 2022
- Last updated
- Nov 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | T02959 | MO | Yes |
Other names
- Mary K Migneco (Former Name)
Practice location
1 Barnes Jewish Hospital PlzDiv Optometry, 1st Fl
Saint Louis, MO 63110-1003
Phone 314-362-6123 · Fax 314-747-3726
Mailing address
660 S Euclid AveCb 8096
Saint Louis, MO 63110-1010
Phone 314-362-3937 · Fax 314-747-9478
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