Laurie L Luck, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

153955 Issued in MO

Practice address

12634 Olive Blvd
Saint Louis, MO 63141-6337

Phone

(314) 996-8378

Fax

(314) 996-8910

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gbaa Holdings PLLCGroup PAC ID 4789944646, 22 clinicians

Dha Endoscopy LLCGroup PAC ID 4082614979, shared by 2 NPIs, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gbaa Holdings, PLLC

  • Anesthesiology Physician
  • Acton, MA
  • NPI 1790299592

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Dha Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Stoneham, MA
  • NPI 1730113325
  Medicare reassignment NPD
• Dha Endoscopy LLC

  • Anesthesiology Physician
  • Stoneham, MA
  • NPI 1851921555
  Medicare reassignment NPD
• Lowell Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Lowell, MA
  • NPI 1063938934

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Broad Midwest Anesthesia, LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1376705848
  NPD (past)
• Midwest Anesthesia Inc.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1285717587
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1356554562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8054",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-996-8378",
            "fax_number": "314-996-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416337",
            "telephone_number": "314-996-8378",
            "fax_number": "314-996-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "LAURIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "153955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen James Luchtefeld, D.O.
• William Brian Luchtefeld, NP
• Jessica Lauren Lucido
• Jessica Pearl Mei-Jan Lucido, NP
• Lucilles Helpping Hands
• Lucy'S Trusted Homecare, LLC.
• Angela Luczaj, CRNA
• Meghan Luczkowski, PT, DPT, LAT, ATC
• Philip A Ludbrook, MD
• Micah John Luderer, MD, PHD

• Certified Registered Nurse Anesthetist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.