NPI Code Detail JSON Logo

1356807176 NPI number — SUNNY ELLEN LUSK MA, LPA INDEPENDENT

NPI Number: 1356807176
Health Care Provider/Practitioner: SUNNY ELLEN LUSK MA, LPA INDEPENDENT

Information about “1356807176” NPI (SUNNY ELLEN LUSK MA, LPA INDEPENDENT) exists in 1356807176 in HTML format HTML  |  1356807176 in plain Text format TXT  |  1356807176 in PDF (Portable Document Format) PDF  |  1356807176 in an XML format XML  formats.

NPI Number : 1356807176 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356807176",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUSK",
    "FirstName": "SUNNY",
    "MiddleName": "ELLEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPA INDEPENDENT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "611 GLEN HAVEN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONROE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77385-7712",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-210-4119",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9200 PINECROFT DR STE 250",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SHENANDOAH",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77380-3286",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-419-8400",
    "PracticeLocationAddressFaxNumber": "281-292-1972",
    "EnumerationDate": "02/17/2019",
    "LastUpdateDate": "02/17/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "36448",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.