# ANDREA L LUSK MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANDREA L LUSK MD SOLE MBR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942478045
- **Authorized official:** DR. ANDREA L LUSK MD (SOLE OWNER)
- **Authorized official phone:** (727) 868-5875

## Contact information

- **Practice address:** 11031 US HIGHWAY 19, SUITE 106, PORT RICHEY, FL 34668-2213
- **Practice address phone:** (727) 868-5875
- **Practice address fax:** (727) 489-9494
- **Mailing address:** 1802 ISLEWORTH CT, OLDSMAR, FL 34677-4857
- **Mailing address phone:** (727) 868-5875
- **Mailing address fax:** (727) 489-9494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME 85673 | FL | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 03/27/2008