Organization
INGE LUECHINGER FAMILY THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INGE C LUECHINGER APRNPMH (PRESIDENT)
(678) 438-4233
Entity
Organization
Contact information
Practice address
1269 PARKER RD SE STE 3D, CONYERS, GA 30094-5957
(678) 438-4233
(770) 761-9070
Mailing address
1269 PARKER RD SE, CONYERS, GA 30094-5957
(678) 438-4233
(770) 761-9070
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN079843 CNS/PMH
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609588713
—
GA
05
—
609588713A
—
GA
Enumeration date
09/05/2006
Last updated
01/08/2020
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