Provider Demographics
NPI:1154793875
Name:LUERS, ANN
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:LUERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 S 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-4815
Mailing Address - Country:US
Mailing Address - Phone:402-223-2403
Mailing Address - Fax:
Practice Address - Street 1:1420 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-4815
Practice Address - Country:US
Practice Address - Phone:402-223-2403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist