Individual
SAVANNAH LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 OHIO AVE, CHARLESTON, WV 25302-2212
(681) 205-8701
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36010
WV
Other
Enumeration date
03/22/2022
Last updated
01/03/2026
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