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Individual

LAURA L LUSK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5616 3RD AVENUE, FERNDALE, WA 98248
(360) 752-7410
(360) 383-0808
Mailing address
220 UNITY ST, BELLINGHAM, WA 98225-4429
(360) 676-6177
(360) 527-8778

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
AP30004955
WA
363L00000X
Nurse Practitioner
Primary
AP30004955
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0191064
LABOR&INDUSTRY-LUSK
WA
Enumeration date
10/17/2006
Last updated
04/04/2012
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