Individual
DR. PETER J. LUSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3320 SKYWAY DR, SUITE 801, OPELIKA, AL 36801-7137
(334) 821-0238
(334) 821-6685
Mailing address
3320 SKYWAY DR, SUITE 801, OPELIKA, AL 36801-7137
(334) 821-0238
(334) 821-6685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
23180
AL
2084P0800X
Psychiatry Physician
Primary
23180
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936990
—
AL
01
—
510-98477
BLUE CROSS OF AL PROVIDER
AL
01
—
529905580
ALABAMA MEDICAID GROUP #
AL
Enumeration date
04/20/2006
Last updated
09/30/2014
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