IndividualActive
Stephanie Lueckel, M.D.
NPI 1073730065 · Surgical Critical Care Physician · Providence, RI
Provider details
- NPI number
- 1073730065
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD14003 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2 Dudley St Ste 470
Providence, RI 02905-3248
Phone: (401) 228-0630
Fax: (401) 868-2328
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 16149
Rumford, RI 02916-0697
Additional practice locations (1)
- 593 Eddy StApc4Providence, RI 02903-4923Phone: (401) 444-0369Fax: (401) 444-6681
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.