Individual
ALEXANDRA LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4705 MONTGOMERY BLVD NE STE 301, ALBUQUERQUE, NM 87109-1234
(505) 727-4500
(505) 727-9590
Mailing address
4705 MONTGOMERY BLVD NE STE 301, ALBUQUERQUE, NM 87109-1234
(505) 727-4500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2022-0173
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16823303
—
NM
Enumeration date
04/07/2016
Last updated
10/18/2022
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