Individual provider · Type 1 NPI

Jonathan Jerome Lusardi, MD

Otolaryngology Physician · Bridgeton, MO

NPI number 1487940672 Active

Practice location

12255 Depaul Dr 830N
Bridgeton, MO 63044

Fax (314) 291-0838

Mailing address

12255 Depaul Dr Suite 830N
Bridgeton, MO 63044-2510

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X2016009655 (MO)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1487940672

Jonathan Jerome Lusardi, MD's National Provider Identifier is 1487940672, issued on Jun 26, 2011. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Bridgeton, MO. The record was last updated on Apr 27, 2021.