Individual provider · Type 1 NPI

Jessica Sue Lusson, RDH

Dental Hygienist · Rice Lake, WI

NPI number 1811545700 Active

Practice location

1501 W Stout St
Rice Lake, WI 54868-5001

Call (714) 236-8900 Map

Mailing address

2481 12 3/4 Ave
Cameron, WI 54822-8725

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X1002730-16 (WI)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1811545700

Jessica Sue Lusson, RDH's National Provider Identifier is 1811545700, issued on Sep 3, 2019. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Rice Lake, WI. The record was last updated on Sep 29, 2026.