Individual
MR. MIKE LUSK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
111 HAYS COMPLEX, HWY 23, BETSY LAYNE, KY 41605-0436
(606) 478-9474
(606) 478-1000
Mailing address
PO BOX 436, BETSY LAYNE, KY 41605-0436
(606) 478-9474
(606) 478-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7768
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54017017
—
KY
Enumeration date
10/06/2005
Last updated
07/08/2007
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