Individual
DEBRA S LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
910 WALLACE AVE, SUITE 207, LEITCHFIELD, KY 42754-2414
(270) 259-3593
(270) 259-2714
Mailing address
4004 DUPONT CIR, SUITE 220, LOUISVILLE, KY 40207-4819
(502) 893-0159
(502) 213-3853
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006006
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100124430
—
KY
Enumeration date
08/24/2009
Last updated
06/06/2016
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