Individual
AMANDA L. LUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 RAY C HUNT DR STE 2100, CHARLOTTESVILLE, VA 22903-2980
(434) 243-0223
(434) 244-7584
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019-00851
NC
207RR0500X
Rheumatology Physician
Primary
0101262482
VA
207RR0500X
Rheumatology Physician
2019-00851
NC
208M00000X
Hospitalist Physician
0101262482
VA
Other
Enumeration date
04/02/2014
Last updated
11/22/2022
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