Individual
DR. LONNIE LUSCAVAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1008 WAWASET RD, KENNETT SQUARE, PA 19348-1002
(610) 347-1200
(610) 347-1201
Mailing address
1008 WAWASET RD, KENNETT SQUARE, PA 19348-1002
(610) 347-1200
(610) 347-1201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
066768L
PA
Other
Enumeration date
07/22/2005
Last updated
12/06/2013
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