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Individual
MS. LUSINE HARUTYUNYAN
Active
Individual
MS. LUSINE HARUTYUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 18776
CA
363AM0700X
Medical Physician Assistant
18776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18776
CALIFORNIA STATE LICENSE
CA
01
—
PA 18776
STATE LICENSE
CA
Enumeration date
05/04/2007
Last updated
09/15/2026
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