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Contact Information

JASON LUSENGO
4308 CARMEL MOUNTAIN DR
MCKINNEY, TX75070-7925
 Phone: 972-672-6612
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
 

Chore Provider

372500000X
Indicates primary specialty

NPI Profile & details for JASON LUSENGO · (Male)

NPI Number 1114454568
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
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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