Mary Lacy Lusk, PT, DPT

NPI #1275330706 in Hiram, Georgia

Provider Information

NPI Number
1275330706
Entity Type
Individual
Name
Mary Lacy Lusk, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Orthopedic
Credential
PT, DPT
Enumeration Date
Mar 3, 2025
Last Updated
Mar 3, 2025

Practice Location

Address
3827 JIMMY LEE SMITH PKWY STE 122
City
Hiram
State
Georgia
ZIP Code
30141-2804
Phone
(770) 943-1142

Specialties & Taxonomy Codes

Specialty
Physical Therapist - OrthopedicOrthopedic

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