Individual provider · Type 1 NPI

Kellie J. Lustenberger, N.P.

Family Nurse Practitioner · Carbondale, IL

NPI number 1295923779 Active

Practice location

305 W. Jackson, Suite 100, New Horizons Obstetrics & Gynecology
Carbondale, IL 62901

Call (618) 457-0404 Map

Fax (618) 457-0440

Mailing address

305 W Jackson St Ste 100
Carbondale, IL 62901-1474

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209006728 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1295923779

Kellie J. Lustenberger, N.P.'s National Provider Identifier is 1295923779, issued on Oct 9, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carbondale, IL. The record was last updated on May 14, 2008.