Individual
DR. LISA J. CUSHMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., PH.D.
Contact information
Practice address
975 W WALNUT ST, IB 130, INDIANAPOLIS, IN 46202-5181
(317) 274-2450
Mailing address
5662 PRIMROSE AVE, INDIANAPOLIS, IN 46220-3341
(317) 465-0998
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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