| Lusk Medical Clinic | |
|
119 West 3rd Street Lusk WY 82225 | |
| (307) 334-2900 | |
| (307) 334-2904 |
| Full Name | Lusk Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 119 West 3rd Street, Lusk, Wyoming |
| Authorized Official Name and Position | Gary M Ottersbach (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 3073342900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lusk Medical Clinic Po Box 930 Lusk WY 82225-0930 Ph: (307) 334-2900 | Lusk Medical Clinic 119 West 3rd Street Lusk WY 82225 Ph: (307) 334-2900 |
| NPI Number | 1750311072 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750311072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |