Individual
LUREE LUSK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1919 N AMIDON AVE, STE.100, WICHITA, KS 67203-2117
(316) 660-7540
(316) 660-7488
Mailing address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7621
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
13-54154-032
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74452
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161341
BLUE CROSS BLUE SHIELD
KS
01
—
2237362
CIGNA
KS
01
—
8908
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
05/22/2006
Last updated
10/17/2017
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