Individual
DENISE CHRISTINE LUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6506 LOISDALE RD, SPRINGFIELD, VA 22150-1824
(703) 924-4100
Mailing address
12561 SUMMIT MANOR DR APT 402, FAIRFAX, VA 22033-5762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006329
VA
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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