MEDICARE: ZOE I LUSCHER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1154988152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOE I LUSCHER MD

Provider Business Mailing Address
First Line	:	600 N. WOLFE STREET
Second Line	:	MEYER 4-181
City	:	BALTIMORE
State	:	MD
Zip	:	21287-7381
Country	:	US
Telephone Number	:	443-287-4506
Fax Number	:	410-955-0152

Provider Business Practice Location Address
First Line	:	600 N. WOLFE STREET
Second Line	:	MEYER 4-181
City	:	BALTIMORE
State	:	MD
Zip	:	21287-7381
Country	:	US
Telephone Number	:	443-287-4506
Fax Number	:	410-955-0152

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2019
Last Update Date	:	05/24/2019

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