Individual
MRS. LISA LYNN LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7961 E SPANISH MOSS LN, PRESCOTT VALLEY, AZ 86314
(928) 775-9993
Mailing address
7961 E SPANISH MOSS LN, PRESCOTT VALLEY, AZ 86314
(928) 775-9993
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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