Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dalton Lusk

Individual provider Family Nurse Practitioner · NPI 1609500990

Dalton Lusk is a Nurse Practitioner in Brookline, Missouri. Qualified in 2022, 4 years ago. Practices with Lester E Cox Medical Centers, a 243-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022

Practice location Address checks out

3203 E Old Stone Ave
Brookline, MO 65619-9620
Phone: (417) 269-1910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022024064 (MO)

Record details

NPI number1609500990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address3203 E Old Stone Ave, Brookline, MO 65619-9620

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lester E Cox Medical Centers — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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