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Individual

ELIZABETH HILL LUSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1505 DAPHNE AVE, DAPHNE, AL 36526-4298
(251) 625-2663
(251) 625-3198
Mailing address
1505 DAPHNE AVE, DAPHNE, AL 36526-4298
(251) 625-2663
(251) 625-3198

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2014009103
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166893
AL
01
2014009103
CRNP
AL
01
4498965
AETNA
AL
01
P01379659
RR MEDICARE
AL
01
Z79049
VIVA
AL
Enumeration date
07/29/2014
Last updated
04/24/2019
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