Individual
DREW LUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
16801 E US HIGHWAY 24, INDEPENDENCE, MO 64056-1529
(816) 320-6119
Mailing address
16801 E US HIGHWAY 24, INDEPENDENCE, MO 64056-1529
(816) 320-6119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
102996
AK
122300000X
Dentist
Primary
2020030615
MO
Other
Enumeration date
11/02/2015
Last updated
12/04/2023
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