Doctor Name: | GEORGE W. LUEDKE |
NPI Number: | 1194719641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101031815 |
Business Practice Address: | 3300 Rivermont Ave Lynchburg, VA - 245032030 |
Business Phone Number: | 4342005047 |
Business Fax Number: | |
Mailing Address: | 1204 Fenwick Dr, LYNCHBURG |
State: | VA |
Postal Code: | 245022112 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/09/2005 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 0101031815 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |