Lawrence Lusaka

NPI #1972158038 in Katy, Texas

Provider Information

NPI Number: 1972158038
Entity Type: Individual
Name: Lawrence Lusaka
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Aug 6, 2019
Last Updated: Aug 6, 2019

Practice Location

Address: 21550 PROVINCIAL BLVD
City: Katy
State: Texas
ZIP Code: 77450-7560
Phone: (346) 978-2007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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