Individual
SHAWN DAVID LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1234
Mailing address
5840 DAVIS CREEK RD, SUITE E, BARBOURSVILLE, WV 25504-1004
(304) 736-6126
(304) 736-1531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
54493
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
075642
WV
Other
Enumeration date
11/01/2006
Last updated
02/03/2015
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