| Doctor Name: | ALLIE ALEXANDER-LUSK |
| NPI Number: | 1831139054 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3004809 |
| Business Practice Address: | 2003 S 7th St Hickman, KY - 420501841 |
| Business Phone Number: | 2702363337 |
| Business Fax Number: | 2702363340 |
| Mailing Address: | 2003 S 7th St, HICKMAN |
| State: | KY |
| Postal Code: | 420501841 |
| Phone Number: | 2702363337 |
| Fax Number: | 2702363340 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3004809 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |