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Contact Information

BRYAN E LUSK, MD
451 ASHLEY RIDGE BLVD
SHREVEPORT, LA71106-7229
 Phone: 318-222-5555
 Fax: 318-222-6414
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BRYAN E LUSK · (Male)

NPI # 1700043643
Status Active
Credentials MD
Entity Individual
Enumeration date 05/19/2008
Last updated 04/07/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 62138
  • LA License # 203516
Hospital affiliation(s)
  • MINDEN MEDICAL CENTER - (Acute Care)
    NO 1 MEDICAL PLAZA
    MINDEN, LA 71055
  • WILLIS KNIGHTON MEDICAL CENTER - (Acute Care)
    2600 GREENWOOD ROAD
    SHREVEPORT, LA 71103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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