Provider Demographics
NPI:1518613256
Name:LUZIUS, ALLEGRA CATHERINA (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:ALLEGRA
Middle Name:CATHERINA
Last Name:LUZIUS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 FM 2527
Mailing Address - Street 2:
Mailing Address - City:LAMPASAS
Mailing Address - State:TX
Mailing Address - Zip Code:76550-7638
Mailing Address - Country:US
Mailing Address - Phone:217-671-6676
Mailing Address - Fax:
Practice Address - Street 1:4102 CLEAR CREEK RD STE 107
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-5954
Practice Address - Country:US
Practice Address - Phone:254-526-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1062197208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics