Individual
STEPHANIE KRISTEN LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 270-8610
Mailing address
5760 PATRIOT BLVD STE D, AUSTINTOWN, OH 44515-1170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005365RX
OH
Other
Enumeration date
10/18/2017
Last updated
11/09/2022
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