Individual
KIMBERLY RENEE LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5011 APACHE HILLS DR, ROSWELL, NM 88201-9484
(575) 317-3510
Mailing address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R54780
NM
Other
Enumeration date
01/27/2014
Last updated
12/21/2017
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