| Doctor Name: | LINDA RENEE LUSK-FAUQUET |
| NPI Number: | 1689844136 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30002149 |
| Business Practice Address: | 18490 Ballinger Way Ne Lake Forest Park, WA - 981554239 |
| Business Phone Number: | 2063640174 |
| Business Fax Number: | 2063640174 |
| Mailing Address: | 18490 Ballinger Way Ne, LAKE FOREST PARK |
| State: | WA |
| Postal Code: | 981554239 |
| Phone Number: | 2063640174 |
| Fax Number: | 2063640174 |
| NPI Enumeration Date: | 03/11/2008 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | AP30002149 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |