Lusk, M.D., Jeanvickey

Lusk, M.D., Jeanvickey is an sole proprietor health care provider with primary practice located at 315 Gypsy Lane , King Of Prussia PA 19406-0941. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lusk, M.D., Jeanvickey can be contacted via phone (215) 200-8447.

Contact Information

Primary practice address
315 Gypsy Lane King Of Prussia PA 19406-0941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5800 Alabama

Profile Details

NPI number 1083077523
LBN Legal business name Lusk, M.D., Jeanvickey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2016
Last updated Apr 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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