Individual
DR. JEANVICKEY LUSK, M.D.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 GYPSY LANE, KING OF PRUSSIA, PA 19406-0941
(215) 200-8447
Mailing address
P.O BOX 60940, KING OF PRUSSIA, PA 19406-0941
(215) 200-8447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5800
AL
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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