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Porscha Lusk

NPI 1275078206 · on the registry since 2016 · sole proprietor

Practice

Address
14608 Tabor Ave
Maple Heights, OH 44137
Phone
(216) 450-8257

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio