JEFFREY DALE LUSK

SHREVEPORT, LA
NPI1407099955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: LA  204196)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
207W00000X Ophthalmology
(Licence: TX  P6997)
Enumeration Date2009-04-14
Last Update Date2014-07-08
Business Address
-- JEFFREY DALE LUSK MD
451 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7229
Phone number: 318-222-5555
Mailing Address
-- JEFFREY DALE LUSK MD
451 ASHLEY RIDGE BLVD
SHREVEPORT, LA 71106-7229
Phone number: 318-222-5555
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