Individual
MYCHELE LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
485 COUNTY ROAD 550 N, NEOGA, IL 62447-2822
(217) 251-0505
Mailing address
485 COUNTY ROAD 550 N, NEOGA, IL 62447-2822
(217) 251-0505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041398169
IL
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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