Individual
MRS. TAMMY DANIELLE LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 W C PL, RUSSELLVILLE, AR 72801-2705
(479) 219-5008
(479) 219-5025
Mailing address
1660 W C PL, RUSSELLVILLE, AR 72801-2705
(479) 219-5008
(479) 219-5025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AO3084 ANP
AR
Other
Enumeration date
04/16/2008
Last updated
01/02/2019
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