Kellie J Lustenberger in Carbondale - Family
Kellie J Lustenberger - NPI 1295923779
Kellie J Lustenberger is a Family in Carbondale, Illinois. Kellie J Lustenberger practices all healthcare services and medical treatments related to Family. The NPI Number for Kellie J Lustenberger is 1295923779. The last update date is 2008-05-14.
Kellie J Lustenberger's current location address is 305 W Jackson St Ste 100, Carbondale, Illinois. You can contact this provider via phone number 6184570404 and fax number 6184570440. The mailing address for Kellie J Lustenberger is 305 W Jackson St Ste 100, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie J Lustenberger |
|---|---|
| Address | 305 W Jackson St Ste 100, Carbondale, Illinois |
| Phone Number | 6184570404 |
| Fax Number | 6184570440 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1295923779 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 305 W Jackson St Ste 100 |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629011474 |
| Phone Number | 6184570404 |
| Fax Number | 6184570440 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 209006728 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kellie J Lustenberger by the Centers for Medicare & Medicaid Services (CMS)?
The Kellie J Lustenberger has been assigned the NPI (National Provider Identifier) 1295923779. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Kellie J Lustenberger is geographically located?
The Kellie J Lustenberger is physically situated at the following location: 305 W Jackson St Ste 100, Carbondale, IL, 629011474.
What is the Kellie J Lustenberger's specialty and taxonomy code?
The Kellie J Lustenberger's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When was the Kellie J Lustenberger's 1295923779 issued?
The Kellie J Lustenberger's 1295923779 was issued on 2007-10-09.
As of what date were the details pertaining to Kellie J Lustenberger last refreshed?
The information related to the Kellie J Lustenberger, including its address, specialty, and other relevant details, was last updated on 2008-05-14.
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