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CHESTER REX LUSARIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
732195
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4013
CA
367500000X
Certified Registered Nurse Anesthetist
NA4013
CA

Other

Enumeration date
02/08/2011
Last updated
04/25/2025
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