National Provider Identifier
Jenna Lorusso, PA-C
Jenna Lorusso, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Depew, NY and a listed phone number of (716) 608-7040.
Profile Overview
- NPI
- 1942840913
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- January 08, 2020
- Last Updated
- February 19, 2020
Practice Location
- 4893 Transit RD
- Depew, NY 14043-4698
Phone: (716) 608-7040
Mailing Address
- 78 Kennedy Ct
- Lancaster, NY 14086-1242
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1942840913
- Entity Type
- Individual
- Last Name
- Lorusso
- First Name
- Jenna
- Credential
- PA-C
- Mailing Street Address
- 78 Kennedy Ct
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-1242
- Mailing Country
- US
- Mailing Phone
- (716) 989-7016
- Practice Street Address
- 4893 Transit RD
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4698
- Practice Country
- US
- Practice Phone
- (716) 608-7040
- Enumeration Date
- January 08, 2020
- Last Updated
- February 19, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 19, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)