# LUCIEN-MAXIMIN YANOU TCHUISSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174591820
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME85684 | FL | Yes |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 10/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 264937300 | — | FL |
| 01 | — | 68-3815 | MEDICARE PTAN | FL |