Individual
RICKELL JEAN LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2750 FLAT TOP ROAD, GHENT, WV 25843
(681) 238-0644
Mailing address
1844 HARPER RD, BECKLEY, WV 25801-3366
(304) 250-0307
(304) 250-0384
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
81121
WV
Other
Enumeration date
08/08/2018
Last updated
12/01/2021
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