Provider Demographics
NPI:1619196813
Name:LUFSCHANOWSKI, CYNTHIA MARLIN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MARLIN
Last Name:LUFSCHANOWSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6417 ADEN LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1593
Mailing Address - Country:US
Mailing Address - Phone:512-301-9587
Mailing Address - Fax:
Practice Address - Street 1:4101 JAMES CASEY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3325
Practice Address - Country:US
Practice Address - Phone:512-416-5132
Practice Address - Fax:512-462-9751
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33812183500000X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350151Medicaid