Individual
CORY ALAN LUSK
Active
Individual
CORY ALAN LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
364
MN
367500000X
Certified Registered Nurse Anesthetist
R1528154
MN
Other
Enumeration date
09/13/2009
Last updated
10/02/2020
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