Provider Demographics
NPI:1831414846
Name:LUSHER, LESLEY ELIZABETH
Entity type:Individual
Prefix:
First Name:LESLEY
Middle Name:ELIZABETH
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 1:515 HIDE AWAY COVE RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:KY
Mailing Address - Zip Code:40444-8057
Mailing Address - Country:US
Mailing Address - Phone:859-489-6679
Mailing Address - Fax:
Practice Address - Street 1:515 HIDE AWAY COVE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:KY
Practice Address - Zip Code:40444-8057
Practice Address - Country:US
Practice Address - Phone:859-338-9299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist