Individual
ANDREA ELLEN LUSCZAKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 E KEARSLEY ST, FLINT, MI 48502-1907
(586) 854-1762
Mailing address
553 LEXINGTON DR, ROCHESTER HILLS, MI 48307-3528
(586) 854-1762
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004187A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/01/2023
Last updated
12/26/2023
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