Jennifer Catherine Luque, MGC, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC000789 Issued in CA

Practice address

5230 S State Rd
Ann Arbor, MI 48108-7936

Phone

(855) 293-2639

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Catherine Gay Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1356855423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NAVARRE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211023",
            "telephone_number": "585-208-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 S STATE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481087936",
            "telephone_number": "855-293-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUQUE",
        "first_name": "JENNIFER",
        "middle_name": "CATHERINE",
        "credential": "MGC, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GAY",
            "middle_name": "CATHERINE",
            "credential": "MGC,CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Lupian
• Claire Olivia Lupini-Gohl, MD
• Amy Elizabeth Lupo, M.A. CCC-SLP
• Kelly J Lupo, PA-C
• Toni Lupro, MD
• Jessica Lusk
• Liisa Lusk, LLC
• Rebecca Kotlowski Lusk, PSYD, ABPP
• Alisha Diane Lussiez, MD
• Jonathan Lutchka

• Genetic Counselor (M.S.) in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Genetic Counselor (M.S.) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.