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Search › Indiana › 207R00000X

Alice Lusk, MD

NPI 1487644845 · on the registry since 2005

Practice

Address
211 N Eddy St
South Bend, IN 46617
Phone
(574) 232-3327
Fax
(574) 232-3369
Organisation at this address
Icp Ppo, Llc
Pra Medical Inc
The South Bend Clinic Llc
The South Bend Clinic Llp
The South Bend Clinic Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
127

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana