Individual
DR. PETER J. LUSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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