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1407830102

NPI Code Detail

MEDICARE: DR. MICHELLE CAMPBELL LUSCHEN MD

MEDICARE: DR. MICHELLE CAMPBELL LUSCHEN 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	2085R0202X	Diagnostic Radiology Physician	47533	KY
2	2085R0204X	Vascular & Interventional Radiology Physician	27925	TN
3	2085R0202X	Diagnostic Radiology Physician	27925	TN
4	2085R0204X	Vascular & Interventional Radiology Physician	47533	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407830102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE CAMPBELL LUSCHEN MD

Provider Business Mailing Address
First Line	:	210 25TH AVE N STE 1204
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1620
Country	:	US
Telephone Number	:	615-312-0600
Fax Number	:	615-320-3259

Provider Business Practice Location Address
First Line	:	210 25TH AVE N STE 1204
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1620
Country	:	US
Telephone Number	:	615-312-0600
Fax Number	:

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

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	09/23/2025

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Directions to “ DR. MICHELLE CAMPBELL LUSCHEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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