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Individual

JERRY ALEX LUSHINGTON JR.

Active
Find providers by NPI
Individual

JERRY ALEX LUSHINGTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14100
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000084372
AL
05
009992240
AL
05
009992250
AL
05
009992260
AL
05
009992270
AL
05
009992280
AL
05
009992310
AL
05
009992320
AL
05
009992330
AL
05
009992340
AL
05
009992350
AL
05
009992360
AL
05
009992370
AL
05
009992410
AL
Enumeration date
05/28/2006
Last updated
09/01/2022
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