Lusk Medical Clinic

NPI #1750311072 in Lusk, Wyoming

Provider Information

NPI Number
1750311072
Entity Type
Organization
Organization Name
Lusk Medical Clinic
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jul 3, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
119 WEST 3RD STREET
City
Lusk
State
Wyoming
ZIP Code
82225
Phone
(307) 334-2900

Authorized Official

Name
GARY M OTTERSBACH
Title
PHYSICIAN ASSISTANT
Phone
(307) 334-2900

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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