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Contact Information

MELISSA LUSK
1071 W. BLUE STARR DR. #101
CLAREMORE, OK74017
 Phone: 918-341-4343
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for MELISSA LUSK · (Female)

NPI Number 1629669890
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2021
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 2019
Hospital affiliation(s) Not Available
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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