IndividualActive
Bethany Lueck, MD
NPI 1194380683 · Neuroradiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1194380683
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ME149484 (FL)
Practice location
30 N Mario Capecchi Rm 2s100
400 W Pueblo Street
Salt Lake City, UT 84112
Phone: (801) 581-2121
Fax: (805) 569-7317
Mailing address
30 N Mario Capecchi Rm 2s100
Salt Lake City, UT 84112
Registry dates
- Enumerated
- 2019-05-09
- Last updated
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.