Doctor Name: | MS. INGE C LUECHINGER |
NPI Number: | 1003001843 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN079843 CNS/PMH |
Business Practice Address: | 997 Commerce Dr Sw Suite 3d Conyers, GA - 300946647 |
Business Phone Number: | 6784384233 |
Business Fax Number: | 7707619070 |
Mailing Address: | 997 Commerce Dr Sw, Suite 3d CONYERS |
State: | GA |
Postal Code: | 300946647 |
Phone Number: | 6784384233 |
Fax Number: | 7707619070 |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | RN079843 CNS/PMH |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |