Individual
DEAN A LUSARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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