Individual
WANDA L LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 664-0889
Mailing address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A01591
AR
Other
Enumeration date
09/01/2005
Last updated
07/20/2016
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