Most Relevant Information
Provider Data
| NPI Number: | 1003418682 |
| Provider Name: | MCKENZIE LUEKEN |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/10/2020 |
| Last Updated: | 03/11/2021 |
Provider Practice Location
120 SE 4TH ST
EVANSVILLE
IN
477081607
Practice Location Phone/Fax
| Phone: | 8124269311 |
| Fax: | 8124269839 |
Provider Mailing Location
PO BOX 1510
EVANSVILLE
IN
477061510
Provider Mailing Phone/Fax
| Phone: | 8124506815 |
| Fax: | 8124506822 |