Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeanvickey Lusk, MD, MD

Individual provider Family Medicine Physician · NPI 1083077523

Dr. Jeanvickey Lusk, MD, MD is a Family Medicine Physician in King of Prussia, Pennsylvania. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

315 Gypsy Ln
King of Prussia, PA 19406-0941
Phone: (215) 200-8447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5800 (AL)

Record details

NPI number1083077523
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2016
Last updated in NPPESApril 1, 2016

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