Angela Rae Lusco, R.N., B.S.N.
Registered Nurse, Home Health in John Day, OR. Individual provider (NPI-1).
NPI number1114286325
StatusActive
Last updated in NPPESMay 31, 2012
Details
- NPI
- 1114286325
- Entity type
- Individual (NPI-1)
- Name
- Ms. Angela Rae Lusco
- Credential
- R.N., B.S.N.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2012
- Last updated
- May 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WH0200X | Registered Nurse, Home Health | 09000577RN | OR | Yes |
Practice location
725 W Main StJohn Day, OR 97845-1299
Phone 541-620-2150 · Fax 541-575-2910
Mailing address
26331 Laycock Creek RdMount Vernon, OR 97865-6197
Phone 541-620-2150 · Fax 541-575-3506
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