Lusis, Stephanie A.

Lusis, Stephanie A. is an individual health care provider with primary practice located at 3601 W 13 Mile Rd Fsc, Royal Oak MI 48073-6712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Lusis, Stephanie A. can be contacted via phone (248) 423-2454.

Contact Information

Primary practice address
3601 W 13 Mile Rd Fsc Royal Oak MI 48073-6712
Phone: (248) 423-2454
Fax: (248) 423-2576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704097964 Michigan

Profile Details

NPI number 1881609584
LBN Legal business name Lusis, Stephanie A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1881609584 NPPES
Michigan MEDICAID 4578715

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