Lusk, Jeffrey Dale

Lusk, Jeffrey Dale is an individual health care provider with primary practice located at 451 Ashley Ridge Blvd , Shreveport LA 71106-7229. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Lusk, Jeffrey Dale can be contacted via phone (318) 222-5555.

Contact Information

Primary practice address
451 Ashley Ridge Blvd Shreveport LA 71106-7229
Phone: (318) 222-5555
Fax: (318) 222-6414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X P6997 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 204196 Louisiana

Profile Details

NPI number 1407099955
LBN Legal business name Lusk, Jeffrey Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2009
Last updated Jul 8th, 2014 - about 11 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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