Lusung, Mandy

Lusung, Mandy is an individual health care provider with primary practice located at 15835 Shaddock Dr Ste 130 , Winter Garden FL 34787-5778. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lusung, Mandy can be contacted via phone (312) 888-2986.

Contact Information

Primary practice address
15835 Shaddock Dr Ste 130 Winter Garden FL 34787-5778
Phone: (312) 888-2986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11024201 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209026954 Illinois

Profile Details

NPI number 1992403760
LBN Legal business name Lusung, Mandy
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2023
Last updated Jul 28th, 2023 - about last year

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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