Provider Demographics
NPI:1912096280
Name:LUSHER, FRANK R (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:R
Last Name:LUSHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15336 DEVONSHIRE STREET
Mailing Address - Street 2:#1
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345
Mailing Address - Country:US
Mailing Address - Phone:818-894-5616
Mailing Address - Fax:818-893-4872
Practice Address - Street 1:15336 DEVONSHIRE STREET
Practice Address - Street 2:#1
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345
Practice Address - Country:US
Practice Address - Phone:818-894-5616
Practice Address - Fax:818-893-4872
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAC33258207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8546517Medicaid
CA8546517Medicaid
A35215Medicare UPIN