Individual
REECHA LUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
189 OUTER LOOP, STE. 2, LOUISVILLE, KY 40214-5544
(502) 379-8870
(502) 394-3600
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2052
KY
363A00000X
Physician Assistant
TC420
KY
Other
Enumeration date
09/21/2015
Last updated
03/22/2019
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