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Individual

KRISTIN JO LUSIAN SALINE

Active
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Individual

KRISTIN JO LUSIAN SALINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53083
MN
207Q00000X
Family Medicine Physician
57448
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-42322
MEDICA
—
01
—
1770717795
BCBS
—
05
—
1770717795
—
MN
01
—
P00860773
RR MEDICARE
—
Enumeration date
05/05/2009
Last updated
01/23/2025
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