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Contact Information

JEFFREY D LUSK, MD
451 ASHLEY RIDGE BLVD
SHREVEPORT, LA71106-7229
 Phone: 318-222-5555
 Fax: 318-222-6414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEFFREY D LUSK · (Male)

NPI # 1407099955
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2009
Last updated 07/08/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 204196
  • TX License # P6997
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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