NPI 1083077523

Jeanvickey Lusk, M.D., MD

Practitioner Family Medicine Physician King of Prussia, PA

Practice location

Address: 315 Gypsy Lane, King of Prussia, PA 19406-0941
Phone: (215) 200-8447
Mailing address: P.O Box 60940, King of Prussia, PA 19406-0941

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 5800 (AL)

Other Family Medicine providers in Pennsylvania →

Registry record

NPI: 1083077523
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2016
Record last updated: 1 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.