Tiffany Nikki Lusic, DO
Student in an Organized Health Care Education/Training Program in Pembroke Pines, FL. Individual provider (NPI-1).
NPI number1497549810
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1497549810
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Nikki Lusic
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2025
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
703 N Flamingo Rd Fl 2Pembroke Pines, FL 33028-1006
Phone 954-436-5000
Mailing address
495 Brickell Ave Apt 1804Miami, FL 33131-2781
Phone 786-281-1881
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All 252 Student in an Organized Health Care Education/Training Program providers in Pembroke Pines · All 6,260 providers in Pembroke Pines
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