Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KIM LADELL LUSTER
Active Sole ProprietorMR. KIM LADELL LUSTER is a Medical Laboratory Technician healthcare provider located in WAUKEGAN, Illinois. NPI 1396870051 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · WAUKEGAN, IL
Registration Details
- NPI Number
- 1396870051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2007 (19.513296047582 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
2400 N SAMSON WAYAPT#2DWAUKEGAN, IL, 600875079Browse IL providers · Browse ZIP 60087
- Phone
- 1224399931
- Fax
- 1224944008
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.