MADYSEN KACEY LUSSI

WILKES BARRE, PA
NPI1306313069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-10-30
Last Update Date2022-01-07
Business Address
MADYSEN KACEY LUSSI
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702-7906
Phone number: 570-808-7916
Mailing Address
MADYSEN KACEY LUSSI
100 N ACADEMY AVE
DANVILLE, PA 17822-4903
Phone number: 570-271-6144