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Contact Information

AMY R LUSK
4805 MONTGOMERY RD STE 210
CINCINNATI, OH45212-2280
 Phone: 513-241-2370
 Fax: 513-241-6053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMY R LUSK · (Female)

NPI Number 1942843370
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2019
Last updated 02/03/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • OH License # CNP025252
  • IN Medicaid 300037682
  • KY Medicaid 7100906730
  • OH Medicaid 0375917
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
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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