| NPI | 1861138703 |
|---|---|
| Former Name | LEANNE MARIE LUSCHAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: 91815) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ID 14481) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |