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Individual

MS. INGE C LUECHINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRNPMH

Contact information

Practice address
1269 PARKER RD SE, CONYERS, GA 30094-5957
(678) 438-4733
(770) 761-9070
Mailing address
1269 PARKER RD SE, CONYERS, GA 30094-5957
(678) 438-4233
(770) 761-9070

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN079843 CNS/PMH
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
609588713A
GA
Enumeration date
09/13/2007
Last updated
12/04/2019
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