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

Q: 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.

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

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

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: August 16, 2026.

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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

Phone(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

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Other Providers at the Same Location NPPES

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

DR. JEANVICKEY LUSK, M.D. & CO. P.C.

Family Medicine

315 GYPSY LANE
KING OF PRUSSIA, PA 19406

Montgomery County (215) 200-8447

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.