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Dalton Lusk
Family Nurse Practitioner in Brookline, Missouri
NPI 1609500990

Dalton Lusk is a Family Nurse Practitioner based in Brookline, MO and is specialized in Family. Dalton Lusk practices in Brookline, MO. The NPI Number for Dalton Lusk is 1609500990 and holds a License No. 2022024064 (Missouri).

The current practice location address for Dalton Lusk is 3203 E Old Stone Ave, Brookline, MO and can be reached out via phone at 417-269-1910.

Location: 3203 E Old Stone Ave, Brookline, MO, 65619-9620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609500990
Provider Name
Dalton Lusk
Credential
Provider Entity Type
Individual
Gender
Male
Address
3203 E Old Stone Ave, Brookline, MO, 65619-9620
Phone Number
417-269-1910
Fax Number
Provider Enumeration Date
07/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3203 E Old Stone Ave
City
Brookline
State
Missouri
Zip
65619-9620
Phone Number
417-269-1910
Fax Number
person
Provider Business Mailing Address Details
Address
3203 E Old Stone Ave
City
Brookline
State
Missouri
Zip
65619-9620
Phone Number
417-269-1910
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2022024064 (Missouri)
Definition
Definition to come...
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