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Specialty details in registry · Blue Ash, OH

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At a glance

11134 Luschek Dr, Blue Ash, OH 45241-2434

NPPES record updated Oct 15, 2020. Public records can lag behind changes at a practice.

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Practice location

11134 Luschek Dr
Blue Ash, OH 45241-2434
Professional details: NPI, taxonomy & registry record
NPI1134727720
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM2800X
Enumeration date
Oct 15, 2020
Record updated
Oct 15, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM2800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11134 Luschek Dr
Blue Ash, OH 45241-2434
Phone
(513) 827-9273
Fax
(513) 818-9960
Mailing address
11134 LUSCHEK DR

BLUE ASH, OH 452412434
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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