AMANDA LUEDTKE L.P.N.
NPI 1053717488
Licensed Practical Nurse in La Crosse, WI

Active since November 12, 2014
1611 PROSPECT ST, LA CROSSE, WI 54603(608) 393-7554 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About AMANDA LUEDTKE

This page provides the complete NPI Profile along with additional information for Amanda Luedtke, a provider established in La Crosse, Wisconsin with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1053717488 assigned on November 2014. The practitioner's primary taxonomy code is 164W00000X with license number 311168 (WI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1053717488 Verify this NPI
Provider Name
AMANDA LUEDTKE L.P.N.
Gender
Female
Entity Type
Individual
Location Address
1611 PROSPECT ST LA CROSSE, WI 54603
Location Phone
(608) 393-7554
Mailing Address
1611 PROSPECT ST LA CROSSE, WI 54603
Mailing Phone
(608) 393-7554
Is Sole Proprietor?
No
Enumeration Date
11-12-2014
Last Update Date
11-12-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
311168
License State
WI
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053717488, enumerated as an "individual" on November 12, 2014.

The provider is located at 1611 PROSPECT ST LA CROSSE, WI 54603 and the phone number is (608) 393-7554.

Licensed Practical Nurse with taxonomy code 164W00000X.