Individual
TIMOTHY RAY LUSCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
623 S HOUSTON LAKE RD STE 200, WARNER ROBINS, GA 31088-9094
(478) 923-6633
(478) 923-8444
Mailing address
2675 WINKLER AVE STE 200, FORT MYERS, FL 33901-9328
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002789
GA
Other
Enumeration date
05/15/2006
Last updated
04/03/2026
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