Individual
AMANDA LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
720 N LINCOLN ST, GREENSBURG, IN 47240-1327
(812) 663-4331
Mailing address
720 N LINCOLN ST, GREENSBURG, IN 47240-1327
(317) 457-0586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001920A
IN
Other
Enumeration date
10/16/2015
Last updated
07/14/2021
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