Provider Demographics
NPI:1962525048
Name:LUSBY, JOAN M (PA)
Entity type:Individual
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First Name:JOAN
Middle Name:M
Last Name:LUSBY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:2973 MANCHESTER RD
Mailing Address - Street 2:HUNTER PROFESSIONAL CENTER
Mailing Address - City:MANCHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21102-1802
Mailing Address - Country:US
Mailing Address - Phone:410-374-4747
Mailing Address - Fax:443-507-0003
Practice Address - Street 1:912 WASHINGTON RD
Practice Address - Street 2:HUNTER PROFESSIONAL CENTER
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5827
Practice Address - Country:US
Practice Address - Phone:410-795-1888
Practice Address - Fax:410-795-3538
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2016-07-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant