Individual
HEATHER PATRICIA LUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 PARK ST, BOWLING GREEN, KY 42101-2347
(270) 745-1000
Mailing address
800 PARK ST, BOWLING GREEN, KY 42101-2347
(270) 745-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-3157
MS
207RI0200X
Infectious Disease Physician
Primary
04911
KY
Other
Enumeration date
07/01/2016
Last updated
05/10/2021
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