Individual
MRS. KIMBERLY JOANNE LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
110 PINE STATE ST, LILLINGTON, NC 27546-9414
(910) 814-3201
Mailing address
110 PINE STATE ST, LILLINGTON, NC 27546-9414
(910) 814-3201
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
262585
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5022519
NC
363LG0600X
Gerontology Nurse Practitioner
5022519
NC
Other
Enumeration date
06/25/2024
Last updated
10/15/2025
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