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Individual

JENNIFER LEIGH LUSK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRPNP

Contact information

Practice address
6701 FANNIN ST, MC-CCC-660, HOUSTON, TX 77030-2316
(832) 822-3171
(832) 825-3159
Mailing address
6560 FANNIN ST, SUITE 2100, HOUSTON, TX 77030-2761
(832) 822-3171

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
657359
TX
363L00000X
Nurse Practitioner
Primary
657359
TX

Other

Enumeration date
07/19/2006
Last updated
01/30/2008
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