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Individual

DR. AMANDA JANE LUCHSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR47153
CO
207R00000X
Internal Medicine Physician
ME69405
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110129873
RAILROAD MEDICARE
FL
05
24403580
CO
05
251204100
FL
Enumeration date
05/18/2006
Last updated
04/21/2011
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