Individual
DR. MITCHELL ALAN LUCHANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
267 OLD MOODY BLVD, PALM COAST, FL 32164-2470
(386) 313-5752
(386) 313-5801
Mailing address
267 OLD MOODY BLVD, PALM COAST, FL 32164-2470
(386) 313-5752
(386) 313-5801
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
G55527
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME77530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015704300
—
FL
Enumeration date
11/15/2006
Last updated
10/22/2024
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