Individual
DR. MARCIA LYNN LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
777 E MERRITT ISLAND CSWY, SUITE 200A, MERRITT ISLAND, FL 32952-3576
(321) 454-9909
Mailing address
777 E MERRITT ISLAND CSWY, SUITE 200A, MERRITT ISLAND, FL 32952-3576
(321) 454-9909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
922137
EYEMED PROVIDER NUMBER
FL
Enumeration date
04/14/2007
Last updated
07/08/2007
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