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NPI Code Detail

MEDICARE: ERICA MICHELLE LUSE MD

MEDICARE:   ERICA MICHELLE LUSE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician125.073590IL
2390200000XStudent in an Organized Health Care Education/Training Program
3207WX0110XPediatric Ophthalmology and Strabismus Specialist PhysicianT7742TX

General Provider Information

NPI Number : 1225535669
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA MICHELLE LUSE MD
Provider Business Mailing Address
First Line : 6701 FANNIN ST STE 610.25
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2609
Country : US
Telephone Number : 832-822-3230
Fax Number :
Provider Business Practice Location Address
First Line : 6701 FANNIN ST STE 610.25
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2609
Country : US
Telephone Number : 832-822-3230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2018
Last Update Date : 08/15/2022

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