Dr. Luke Michael Luetkemeyer, M.D.
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Peoria, IL. Individual provider (NPI-1).
NPI number1407084635
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1407084635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luke Michael Luetkemeyer
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2009
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 036138951 | IL | Yes |
| 207X00000X | Orthopaedic Surgery | 036138951 | IL |
Practice location
6000 N Allen RdPeoria, IL 61614-3294
Phone 309-258-3174
Mailing address
6000 N Allen RdPeoria, IL 61614-3294
Phone 309-691-1400 · Fax 309-693-3197
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