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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUAN LLUSCO, MD

Deactivated Sole Proprietor

JUAN LLUSCO, MD is a Pediatrics healthcare provider located in PHOENIX, Arizona. NPI 1669464210 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · PHOENIX, AZ

This NPI has been deactivated. The record was deactivated on March 21, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1669464210
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2005 (0.58630136986301 yrs)
Last Updated
May 31, 2013
Deactivated
Mar 21, 2006
License
AZ31758 (AZ)
Sole Proprietor
Yes

Practice Information

Address
1641 E OSBORN RD
SUITE 3
PHOENIX, AZ, 850167146
Browse AZ providers · Browse ZIP 85016
Phone
4802067319
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in PHOENIX, AZ

Name Credential NPI
AMY R RAMPLEY D.O. 1134122492
ELAINE T SANTOS MD 1609879964
LISA RING MD 1972505097
RUDY SERINO MD 1609878727
ANN OLAND MD 1972507226
KIM AMJADI MD 1417951765
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.