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Organization

ANDREA L LUSK MD LLC

Active
Other names
ANDREA L LUSK MD SOLE MBR
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA L LUSK MD (SOLE OWNER)
(727) 868-5875
Entity
Organization

Contact information

Practice address
11031 US HIGHWAY 19, SUITE 106, PORT RICHEY, FL 34668-2213
(727) 868-5875
(727) 489-9494
Mailing address
1802 ISLEWORTH CT, OLDSMAR, FL 34677-4857
(727) 868-5875
(727) 489-9494

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 85673
FL

Other

Enumeration date
02/12/2008
Last updated
03/27/2008
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