Lusczakoski, Samantha

Lusczakoski, Samantha is an individual health care provider with primary practice located at 4075 S State Road 7 Ste H1 , Lake Worth FL 33449-8152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lusczakoski, Samantha can be contacted via phone (561) 967-5761.

Contact Information

Primary practice address
4075 S State Road 7 Ste H1 Lake Worth FL 33449-8152
Phone: (561) 967-5761
Fax: (561) 967-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704308612 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11003396 Florida

Profile Details

NPI number 1881160802
LBN Legal business name Lusczakoski, Samantha
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2018
Last updated Mar 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881160802 NPPES
Florida MEDICAID 104457700

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