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General NPI Number Information
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NPI Number | 1932432929
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Entity Type | Organization
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Legal Business Name | FRANK R. LUSHER, M.D., INC.
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 15336 DEVONSHIRE ST STE 1
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City | MISSION HILLS
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State | CA
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Zip | 91345-2766
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Country | US
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Telephone | 818-894-5616
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Fax | 818-893-4872
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Provider Business Mailing Address
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Address Line | 15336 DEVONSHIRE ST STE 1
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City | MISSION HILLS
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State | CA
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Zip | 91345-2766
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Country | US
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Telephone | 818-894-5616
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Fax | 818-893-4872
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Authorized Official
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Title or Position | OFFICE MANAGER/CFO
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Name | MS. EVELYN R. DELGADILLO
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Credential |
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Telephone | 818-894-5616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C33258
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License Number State | CA
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