Mychele Lusk RN

NPI 1073900734 - Registered Nurse - 163W00000X

NPI Details
NPI 1073900734
Gender Female
Enumeration Date 04/21/2015
Last Updated 04/21/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
485 COUNTY ROAD 550 N
NEOGA IL, 62447-2822, US
Phone (217) 251-0505
Fax
Business Location
485 COUNTY ROAD 550 N
NEOGA IL, 62447-2822, US
Phone (217) 251-0505
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Illinois
License Number 041398169
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According to our database, Mychele Lusk RN NPI is 1073900734, taxonomy code is 163W00000X and license number is 041398169, license state is located at Illinois. Mychele Lusk RN physically located at 485 County Road 550 N, Neoga IL, 62447-2822. NPI Number Mychele Lusk RN has the Individual type.

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1073900734 NPI number is provided on an as is basis without warranty of any kind. 1073900734 is maintained by the National Plan & Provider Enumeration System. The contents of Mychele Lusk RN are for informational purposes only.