Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 23183 | NE |
N | 207YP0228X | Pediatric Otolaryngology | 23183 | NE |
NPI | 1952466443 |
---|---|
Provider Name | Dr. Rodney P Lusk |
First Address | Omaha, NE 68131-2136 |
Second Address | Omaha, NE 68131-2136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07161 | BCBS BT (01) | NE |
07162 | BCBS ENT (01) | NE |
1000583 | (05) | NE |
1000587 | (05) | NE |
1000588 | (05) | NE |
1000650 | (05) | NE |
100251710-00 | (05) | NE |
104769860 | (05) | MI |
237122 | MIDLANDS CHOICE (01) | NE |
2972901 | (05) | IA |
3972901 | (05) | IA |
4972901 | (05) | IA |
5972901 | (05) | IA |
6972901 | (05) | IA |
7972901 | (05) | IA |
8972901 | (05) | IA |
9972901 | (05) | IA |
A04162 | (02) | NE |