Individual
BRIAN SHAWN LUSCHWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 GRAPEVINE RD, VISTA, CA 92083-4004
(760) 631-5030
Mailing address
134 GRAPEVINE RD, VISTA, CA 92083-4004
(760) 631-5030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60517
CA
Other
Enumeration date
07/07/2006
Last updated
10/13/2009
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