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Individual
DR. ROBERT GLYNN LUSK
Active
Individual
DR. ROBERT GLYNN LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2073
OK
152W00000X
Optometrist
Primary
4674T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143546301
—
TX
Enumeration date
08/11/2006
Last updated
04/04/2022
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