Dr. Jodie Lusby
Periodontist
4010 Dupont Cir Ste 524
St Matthews
, Kentucky 40207-4888
Dr. Jodie Lusby
Periodontist
4010 Dupont Cir Ste 524
St Matthews
, Kentucky 40207-4888
(859) 816-2701
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Jodie Lusby
- 11400 Willow Branch Dr
- Louisville, KY
- Zip : 40291-4529
- Phone : (859) 816-2701
Second Address
- Dr. Jodie Lusby
- 4010 Dupont Cir Ste 524
- St Matthews, KY
- Zip : 40207-4888
- Phone : (502) 897-9417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 9779 | KY |
National Provider Identifier
| NPI | 1033573415 |
|---|---|
| Provider Name | Dr. Jodie Lusby |
| First Address | Louisville, KY 40291-4529 |
| Second Address | St Matthews, KY 40207-4888 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2016 |
| Last Update Date | 23/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.