Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN JEROME LUSARDI, M.D.
ActiveDR. JONATHAN JEROME LUSARDI, M.D. is a Otolaryngology healthcare provider located in BRIDGETON, Missouri. NPI 1487940672 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · BRIDGETON, MO
Registration Details
- NPI Number
- 1487940672
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2011 (15.172378246798 yrs)
- Last Updated
- Apr 27, 2021
- License
-
2016009655 (MO)
Practice Information
- Address
-
12255 DEPAUL DR 830NBRIDGETON, MO, 63044Browse MO providers · Browse ZIP 63044
- Phone
- 3142915307
- Fax
- 3142910838
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JASON MATTHEW HANSON | M.D. | 1063522597 |
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.