Lusk, Debra Jann

Lusk, Debra Jann is an individual health care provider with primary practice located at 6260 Delaware St , Beaumont TX 77706-7602. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Lusk, Debra Jann can be contacted via phone (409) 899-1538.

Contact Information

Primary practice address
6260 Delaware St Beaumont TX 77706-7602
Phone: (409) 899-1538
Fax: (409) 899-2120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1347 Texas

Profile Details

NPI number 1851396139
LBN Legal business name Lusk, Debra Jann
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 10th, 2012 - about 12 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 1851396139 NPPES
Texas MEDICAID 041086202

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