Individual
DR. DEBRA JANN LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
6260 DELAWARE ST, BEAUMONT, TX 77706-7602
(409) 899-1538
(409) 899-2120
Mailing address
6260 DELAWARE ST, BEAUMONT, TX 77706-7602
(409) 899-1538
(409) 899-2120
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041086202
—
TX
Enumeration date
06/14/2005
Last updated
01/10/2012
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