Individual
DR. GENE PAUL LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D C
Contact information
Practice address
225 S DAVID ST, SAN ANGELO, TX 76903-6335
(325) 655-3666
(325) 655-5278
Mailing address
225 S DAVID ST, SAN ANGELO, TX 76903-6335
(325) 655-3666
(325) 655-5278
Taxonomy
Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
2176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T14519
BLK 17A FORM CMS 1500
TX
Enumeration date
08/09/2006
Last updated
07/08/2007
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