Provider Demographics
NPI:1750594776
Name:LUSHER, BARBARA LEE
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LEE
Last Name:LUSHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 KARNEY PL
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3237
Mailing Address - Country:US
Mailing Address - Phone:614-475-7034
Mailing Address - Fax:
Practice Address - Street 1:176 KARNEY PL
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3237
Practice Address - Country:US
Practice Address - Phone:614-475-7034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2505908Medicare ID - Type Unspecified