Individual
DEBORAH MCKAY LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939
(540) 932-4816
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
00012566922
VA
163W00000X
Registered Nurse
1042443
AL
163W00000X
Registered Nurse
RN-83782
NM
363LF0000X
Family Nurse Practitioner
0024172567
VA
363LF0000X
Family Nurse Practitioner
Primary
CNP-02906
NM
Other
Enumeration date
04/09/2015
Last updated
11/08/2019
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