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NPI Code Detail

MEDICARE: DR. MICHAEL D LUSK M.D.

MEDICARE: DR. MICHAEL D LUSK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery PhysicianME44001FL

General Provider Information

NPI Number : 1821097775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL D LUSK M.D.
Provider Business Mailing Address
First Line : 700 PARK VISTA RD
Second Line :
City : WEST JEFFERSON
State : NC
Zip : 28694-8025
Country : US
Telephone Number : 239-691-0032
Fax Number : 877-334-1886
Provider Business Practice Location Address
First Line : 6101 PINE RIDGE RD # DESK10
Second Line :
City : NAPLES
State : FL
Zip : 34119-3900
Country : US
Telephone Number : 239-649-1662
Fax Number : 239-649-7053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 10/07/2022

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