Timothy Ray Luschen, PA

NPI #1245281989 in Warner Robins, Georgia

Provider Information

NPI Number
1245281989
Entity Type
Individual
Name
Timothy Ray Luschen, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
May 15, 2006
Last Updated
Aug 18, 2014

Practice Location

Address
623 S HOUSTON LAKE RD
Address 2
SUITE 200
State
Georgia
ZIP Code
31088-9093
Phone
(478) 923-6633

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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