Individual provider · Type 1 NPI
Stephanie A. Lusis, NP
Gerontology Nurse Practitioner · Royal Oak, MI
NPI number
1881609584
Active
Practice location
3601 W 13 Mile Rd, Fsc
Royal Oak, MI 48073-6712
Fax (248) 423-2576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704097964 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1881609584
Stephanie A. Lusis, NP's National Provider Identifier is 1881609584, issued on Jul 30, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 8, 2007.