Individual
ELISA LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8686 PECK RD, RAVENNA, OH 44266-9774
(330) 281-1495
Mailing address
8686 PECK RD, RAVENNA, OH 44266-9774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.445100
OH
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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