Individual
JOSEPH LUZIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4012
Mailing address
4208 CAMELBACK RD NW, ALBUQUERQUE, NM 87114-5655
(505) 897-1600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2008-0720
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008-0720
NM MEDICAL LICENSE
NM
05
—
2198686
—
NM
01
—
3297594
BLUE CROSS
NM
01
—
8H1921
MEDIACARE B
NM
01
—
CS00214005
NM CS LICENSE
NM
Enumeration date
02/06/2007
Last updated
02/29/2012
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