Individual
LINDA RENEE LUSK-FAUQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18490 BALLINGER WAY NE, LAKE FOREST PARK, WA 98155-4239
(206) 364-0174
(206) 364-0174
Mailing address
18490 BALLINGER WAY NE, LAKE FOREST PARK, WA 98155-4239
(206) 364-0174
(206) 364-0174
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
AP30002149
WA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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