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Individual

DR. RICHARD LEWIS LUSCOMB

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
7516 ENTERPRISE AVE, SUITE 1, GERMANTOWN, TN 38138-3802
(901) 755-5802
(901) 757-2249
Mailing address
7516 ENTERPRISE AVE, SUITE 1, GERMANTOWN, TN 38138-3802
(901) 755-5802
(901) 757-2249

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
24314
MS
103T00000X
Psychologist
Primary
P870
TN

Other

Enumeration date
03/14/2006
Last updated
07/08/2007
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