Individual
KEIA LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 GREENSBORO ST, ASHEBORO, NC 27203-4736
(336) 579-1451
Mailing address
770 QUBEIN AVE, HIGH POINT, NC 27268-0001
(336) 841-9100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
151496
NC
Other
Enumeration date
12/03/2025
Last updated
01/08/2026
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