Individual
LEE W LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 N. BEAVER STREET, BLDG 4, FLAGSTAFF, AZ 86001-3139
(928) 774-7997
Mailing address
710 N. BEAVER STREET, BLDG 4, FLAGSTAFF, AZ 86001-3139
(928) 774-7997
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Enumeration date
07/27/2007
Last updated
07/06/2020
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