Individual
MISS TINA MARIE LUICHINGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
655 7TH ST, ROBINS AFB, GA 31098-2227
(478) 327-8352
Mailing address
109 ANDRA AVE, WARNER ROBINS, GA 31098-1072
(478) 923-0729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1406
MD
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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