Provider Demographics
NPI:1992980833
Name:DICKMAN, ANN LUSK (RN)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:LUSK
Last Name:DICKMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 OLEANDER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3924
Mailing Address - Country:US
Mailing Address - Phone:530-891-2736
Mailing Address - Fax:530-891-2873
Practice Address - Street 1:695 OLEANDER AVE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3924
Practice Address - Country:US
Practice Address - Phone:530-891-2736
Practice Address - Fax:530-891-2873
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3085172083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine