| Kyle Richard Lusk, CRNA | |
|
211 Sudderth Dr, Ruidoso, NM 88345-6043 | |
| (575) 257-8200 | |
| Not Available |
| Full Name | Kyle Richard Lusk |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 211 Sudderth Dr, Ruidoso, New Mexico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922517820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 251088 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA-01535 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Lincoln County Medical Center | Ruidoso, NM | Hospital |
| Bonner General Hospital | Sandpoint, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Coeur D Alene Pllc | 2365427838 | 59 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Richard Lusk, CRNA 137 Dancing Star Trl, Alto, NM 88312-9522 Ph: (575) 937-8303 | Kyle Richard Lusk, CRNA 211 Sudderth Dr, Ruidoso, NM 88345-6043 Ph: (575) 257-8200 |
Michael David Noltensmeyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-7381 Fax: 505-260-4338 | |
Steven J. Raterman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 211 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-7381 Fax: 505-260-4338 |