Doctor Name: | ERICA L LUSSIER |
NPI Number: | 1245662592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 338286 |
Business Practice Address: | 1 Hospital Dr Massena, NY - 136621056 |
Business Phone Number: | 3157694253 |
Business Fax Number: | |
Mailing Address: | 2 Elizabeth Ave, Apt 8 MASSENA |
State: | NY |
Postal Code: | 136623528 |
Phone Number: | 8604601030 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 09/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 338286 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |