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DEAN A LUSARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8300 FLOYD CURL DR FL 3, SAN ANTONIO, TX 78229-3931
(210) 450-9300
(210) 450-6023
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-9300

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
107013
MN
207X00000X
Orthopaedic Surgery Physician
2000156464
MO
207X00000X
Orthopaedic Surgery Physician
Primary
Q8291
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200039419
RAILROAD MEDICARE
05
205095102
MO
05
359244601
TX
01
359244602
CSHCN
TX
Enumeration date
06/06/2006
Last updated
08/11/2016
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