Individual
ELENA MARIE LUSHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5821 S WILLIAMSON BLVD STE 204, PORT ORANGE, FL 32128-6102
(386) 231-6300
Mailing address
5821 S WILLIAMSON BLVD STE 204, PORT ORANGE, FL 32128-6102
(386) 231-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114275
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
02/26/2026
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