person
Kellie J Lustenberger, NP
Family Nurse Practitioner in Carbondale, Illinois
NPI 1295923779

Kellie J Lustenberger is a Family Nurse Practitioner based in Carbondale, IL and is specialized in Family. Kellie J Lustenberger practices in Carbondale, IL and has the professional credentials of NP. The NPI Number for Kellie J Lustenberger is 1295923779 and holds a License No. 209006728 (Illinois).

The current practice location address for Kellie J Lustenberger is 305 W. Jackson, Suite 100, Carbondale, IL and can be reached out via phone at 618-457-0404 and via fax at 618-457-0440. You can also correspond with Kellie J Lustenberger through the mailing address at 305 W JACKSON ST STE 100, CARBONDALE, IL - 62901-1474 (mailing address contact number: 618-457-0404).

Location: 305 W. Jackson, Suite 100, Carbondale, IL, 62901-1474
person
Provider Profile Details
NPI Number
1295923779
Provider Name
Kellie J Lustenberger
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
305 W. Jackson, Suite 100, Carbondale, IL, 62901-1474
Phone Number
618-457-0404
Fax Number
618-457-0440
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
305 W. Jackson, Suite 100
City
State
Zip
62901
Phone Number
618-457-0404
Fax Number
618-457-0440
person
Provider Business Mailing Address Details
Address
305 W. Jackson, Suite 100
City
State
Zip
62901
Phone Number
618-457-0404
Fax Number
618-457-0440
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209006728 (Illinois)
Definition
Definition to come...
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