DEBORAH A LUETZOW MD NPI 1285688713

NPI Information

  • NPI: 1285688713
  • Provider Name: DEBORAH A LUETZOW, MD
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 2413 W RAWSON AVE
    OAK CREEK, WI
    ZIP 53154
  • Phone: (414) 333-0064

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NPI Details

Deborah A Luetzow, MD is an adult medicine family medicine in Oak Creek, WI. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Deborah A Luetzow, MD NPI is 1285688713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2413 W RAWSON AVE
OAK CREEK, WI
ZIP 53154-323
Phone: (414) 333-0064

The enumeration date for this NPI number is 5/20/2006 and was last updated on 12/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine29691WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
131555700MEDICAIDWISCONSIN
2E48369MEDICARE UPINWISCONSIN
3000002800-0001MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
4391703395015OTHERWISCONSINBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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