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NPI Code Detail

MEDICARE: CHRISTOPHER LUSSEN SCHNEIDER P.A.

MEDICARE:   CHRISTOPHER LUSSEN SCHNEIDER  P.A.
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
1363A00000XPhysician Assistant9105242FL
2363A00000XPhysician AssistantPA.200627LA

General Provider Information

NPI Number : 1639405335
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER LUSSEN SCHNEIDER P.A.
Provider Business Mailing Address
First Line : 1000 OCHSNER BLVD
Second Line :
City : COVINGTON
State : LA
Zip : 70433-8107
Country : US
Telephone Number : 985-875-2828
Fax Number : 985-898-7004
Provider Business Practice Location Address
First Line : 4750 N FEDERAL HWY
Second Line : SUITE 200
City : FT LAUDERDALE
State : FL
Zip : 33308-4609
Country : US
Telephone Number : 954-772-7773
Fax Number : 954-772-2221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2009
Last Update Date : 04/30/2025

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