Individual
DR. ANNETTE LUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 507-3188
Mailing address
1855 W BASELINE RD STE 101, MESA, AZ 85202-9098
(480) 390-1085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006726
AZ
207Q00000X
Family Medicine Physician
11016763A
IN
Other
Enumeration date
06/27/2012
Last updated
05/08/2018
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