Individual
JAYLON RAMON LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 361-5551
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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