Kristin Jo Lusian D.O.

NPI 1770717795 - Family Medicine - 207Q00000X

NPI Details
NPI 1770717795
Gender Female
Enumeration Date 05/05/2009
Last Updated 11/27/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
4212 GRAND AVE
ESSENTIA HEALTH WEST DULUTH CLINIC
DULUTH MN, 55807-2737, US
Phone (218) 786-3500
Fax
Business Location
4212 GRAND AVE
ESSENTIA HEALTH WEST DULUTH CLINIC
DULUTH MN, 55807-2737, US
Phone (218) 786-3500
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 53083
Remove 1770717795 NPI Number
 

According to our database, Kristin Jo Lusian D.O. NPI is 1770717795, taxonomy code is 207Q00000X and license number is 53083, license state is located at Minnesota. Kristin Jo Lusian D.O. physically located at 4212 Grand Ave, Duluth MN, 55807-2737. NPI Number Kristin Jo Lusian D.O. has the Individual type.

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1770717795 NPI number is provided on an as is basis without warranty of any kind. 1770717795 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin Jo Lusian D.O. are for informational purposes only.