DR. JEANVICKEY LUSK, M.D. M.D.
NPI 1083077523
Family Medicine in King Of Prussia, PA

Active since April 01, 2016
315 GYPSY LANE, KING OF PRUSSIA, PA 19406(215) 200-8447 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeanvickey Lusk, M.d. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEANVICKEY LUSK, M.D. M.D. (NPI 1083077523) is an individual family medicine provider in King Of Prussia, Pennsylvania, licensed in Alabama (5800) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1083077523
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEANVICKEY LUSK, M.D.Credential: M.D.
Location Address315 GYPSY LANEKing Of Prussia, PA 19406-0941
Mailing AddressP.o Box 60940King Of Prussia, PA 19406-0941 · (215) 200-8447
Sole ProprietorYes
Enumeration DateApril 1, 2016
NPI 1083077523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 5800
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

315 GYPSY LANE, King Of Prussia, PA 19406

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
315 GYPSY LANE
KING OF PRUSSIA, PA 19406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanvickey Lusk, M.d.'s NPI number?

The NPI number for Jeanvickey Lusk, M.d. is 1083077523. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Jeanvickey Lusk, M.d. located?

Jeanvickey Lusk, M.d. practices at 315 Gypsy Lane, King Of Prussia, PA 19406. The listed phone number is (215) 200-8447.

What is Jeanvickey Lusk, M.d.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeanvickey Lusk, M.d. was last updated on April 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.