NPI 1003111972

Jessica Lee Luetkemeyer, PAC

Practitioner Physician Assistant Tulsa, OK

Practice location

Address: 1111 S Saint Louis Ave, Tulsa, OK 74120-5440
Phone: (918) 619-4400
Fax: (918) 619-4696
Mailing address: 4502 E 41st St, Tulsa, OK 74135-2536

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1960 (OK)

Other Physician Assistant providers in Oklahoma →

Registry record

NPI: 1003111972
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2011
Record last updated: 8 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.