Most Relevant Information
Provider Data
| NPI Number: | 1003302878 |
| Provider Name: | LAUREN LUSK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 0701008282 |
Most Important Dates
| Enumeration Date: | 07/05/2018 |
| Last Updated: | 04/18/2019 |
Provider Practice Location
1900 BYRD AVE
RICHMOND
VA
232303033
Practice Location Phone/Fax
| Phone: | 8045926311 |
| Fax: |
Provider Mailing Location
15706 DRAYCOT DR
MIDLOTHIAN
VA
231125515
Provider Mailing Phone/Fax
| Phone: | 8043175576 |
| Fax: |