Individual
LAINA LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMSC, CGC
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 426-6544
(215) 590-1771
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 426-6544
(215) 590-1771
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
25MJ00035100
NJ
170300000X
Genetic Counselor (M.S.)
Primary
GC000489
PA
Other
Enumeration date
07/27/2018
Last updated
07/01/2020
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