Most Relevant Information
Provider Data
| NPI Number: | 1003001843 |
| Provider Name: | INGE C LUECHINGER APRNPMH |
| Entity Type: | Individual |
| Taxonomy Code: | 364SP0808X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | RN079843 CNS/PMH |
Most Important Dates
| Enumeration Date: | 09/13/2007 |
| Last Updated: | 12/04/2019 |
Provider Practice Location
1269 PARKER RD SE
CONYERS
GA
300945957
Practice Location Phone/Fax
| Phone: | 6784384733 |
| Fax: | 7707619070 |
Provider Mailing Location
1269 PARKER RD SE
CONYERS
GA
300945957
Provider Mailing Phone/Fax
| Phone: | 6784384233 |
| Fax: | 7707619070 |