Individual
MARK B LUZADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
7300 E INDIANA ST, STE 103, EVANSVILLE, IN 47715-2794
(812) 401-8008
(812) 401-8201
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001005745
ANTHEM BCBS
IN
01
—
34005693
LICENSE
IN
Enumeration date
05/09/2008
Last updated
09/16/2016
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