| Doctor Name: | MRS. DIANE B LUEDTKE |
| NPI Number: | 1255484952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | TP006235H |
| Business Practice Address: | 211 N 12th St Lehighton, PA - 182351138 |
| Business Phone Number: | 5704013960 |
| Business Fax Number: | 5703258336 |
| Mailing Address: | 9 White Ln, JIM THORPE |
| State: | PA |
| Postal Code: | 182291022 |
| Phone Number: | 5703254170 |
| Fax Number: | 5703258336 |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | TP006235H |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |