Individual provider · Type 1 NPI

Jenna Lorusso, PA-C

Medical Physician Assistant · Depew, NY

NPI number 1942840913 Active

Practice location

4893 Transit Rd
Depew, NY 14043-4698

Mailing address

78 Kennedy Ct
Lancaster, NY 14086-1242

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X024587 (NY)

Medical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1942840913

Jenna Lorusso, PA-C's National Provider Identifier is 1942840913, issued on Jan 8, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Depew, NY. The record was last updated on Feb 19, 2020.