Provider Demographics
NPI:1639405335
Name:SCHNEIDER, CHRISTOPHER LUSSEN (PA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LUSSEN
Last Name:SCHNEIDER
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Gender:
Credentials:PA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1000 OCHSNER BLVD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8107
Mailing Address - Country:US
Mailing Address - Phone:985-875-2828
Mailing Address - Fax:985-898-7004
Practice Address - Street 1:4750 N FEDERAL HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4609
Practice Address - Country:US
Practice Address - Phone:954-772-7773
Practice Address - Fax:954-772-2221
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2025-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9105242363A00000X
LAPA.200627363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant