National Provider Identifier
Jacquelyn Lusk
Jacquelyn Lusk is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Holley, NY and a listed phone number of (585) 283-1124.
Profile Overview
- NPI
- 1174944797
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 27, 2013
- Last Updated
- December 27, 2013
Practice Location
- 22A Mechanic St
- Holley, NY 14470-1157
Phone: (585) 283-1124
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1174944797
- Entity Type
- Individual
- Last Name
- Lusk
- First Name
- Jacquelyn
- Mailing Street Address
- 22A Mechanic St
- Mailing City
- Holley
- Mailing State
- NY
- Mailing ZIP Code
- 14470-1157
- Mailing Country
- US
- Mailing Phone
- (585) 283-1124
- Practice Street Address
- 22A Mechanic St
- Practice City
- Holley
- Practice State
- NY
- Practice ZIP Code
- 14470-1157
- Practice Country
- US
- Practice Phone
- (585) 283-1124
- Enumeration Date
- December 27, 2013
- Last Updated
- December 27, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)