Individual
PATRICIA L LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3204 VIRGINIA AVE SE, CHARLESTON, WV 25304-1208
(304) 342-7878
Mailing address
3204 VIRGINIA AVENUE, CHARLESTON, WV 25304-3204
(304) 342-7878
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55630
WV
Other
Enumeration date
07/13/2006
Last updated
08/02/2011
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