Individual
MS. MELISSA Z LUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER, BATON ROUGE, LA 70809-3432
(225) 214-6688
(225) 214-6687
Mailing address
PO BOX 661495, BIRMINGHAM, AL 35266-1495
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP02818
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1687227
—
LA
01
—
P00409101
RR MEDICARE
LA
Enumeration date
01/30/2006
Last updated
05/21/2008
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