Individual
KELLY ANNE LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
303 EAST KEARSLEY STREET, 4125 WILLIAM S. WHITE BUILDING, FLINT, MI 48502
(248) 595-4916
Mailing address
27986 GAINES MILL WAY, FARMINGTON HILLS, MI 48331-3107
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704371979
MI
Other
Enumeration date
05/05/2025
Last updated
05/21/2025
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