Individual
MRS. JENNIFER GREEN LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 W, LA VETA, ORANGE, CA 92868
(714) 509-8826
Mailing address
1201 W, LA VETA, ORANGE, CA 92868
(714) 509-8826
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A108240
CA
Other
Enumeration date
06/16/2009
Last updated
01/07/2016
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