Individual
MATTHEW RAYMOND LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 MATLOCK RD, MANSFIELD, TX 76063-9164
(817) 453-5437
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
U3928
TX
Other
Enumeration date
03/27/2020
Last updated
08/29/2023
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