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Mrs. Shannon Cathleen Lustila
Lodging Provider in Hibbing, Minnesota
NPI 1831255074

Shannon Cathleen Lustila is a Lodging Provider based in Hibbing, MN. Shannon Cathleen Lustila practices in Hibbing, MN. The NPI Number for Shannon Cathleen Lustila is 1831255074 and holds a License No. 222281-1-AFC (Minnesota).

The current practice location address for Shannon Cathleen Lustila is 201 Hematite St, Hibbing, MN and can be reached out via phone at 218-263-4840.

Location: 201 Hematite St, Hibbing, MN, 55746-3129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831255074
Provider Name
Shannon Cathleen Lustila
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 Hematite St, Hibbing, MN, 55746-3129
Phone Number
218-263-4840
Fax Number
Provider Enumeration Date
12/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
201 Hematite St
City
Hibbing
State
Minnesota
Zip
55746-3129
Phone Number
218-263-4840
Fax Number
person
Provider Business Mailing Address Details
Address
201 Hematite St
City
Hibbing
State
Minnesota
Zip
55746-3129
Phone Number
218-263-4840
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
222281-1-AFC (Minnesota)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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