DALTON LUSK

BROOKLINE, MO
NPI1609500990
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2022024064)
Enumeration Date2022-07-12
Last Update Date2022-07-12
Business Address
DALTON LUSK
3203 E OLD STONE AVE
BROOKLINE, MO 65619-9620
Phone number: 417-269-1910
Mailing Address
DALTON LUSK
3203 E OLD STONE AVE
BROOKLINE, MO 65619-9620
Phone number: