Healthcare Provider Details

I. General information

NPI: 1902359326
Provider Name (Legal Business Name): LAUREN ELIZABETH LUSARDI O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 FAIRVIEW AVE
EASTON PA
18042-3858
US

IV. Provider business mailing address

5201 HAMILTON BLVD
ALLENTOWN PA
18106-9113
US

V. Phone/Fax

Practice location:
  • Phone: 610-258-4334
  • Fax: 610-258-9418
Mailing address:
  • Phone: 610-530-4444
  • Fax: 610-530-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG003183
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number27OA00667700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: