Individual
DR. HENRY CARLTON LUSANE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 NORMANDIE DR, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Mailing address
2055 NORMANDIE DR, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00025129
AL
Other
Enumeration date
02/23/2006
Last updated
09/26/2007
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