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Individual

SARAH LUSTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
759 CHESTNUT STREET, SPRINGFIELD, MA 01108
(413) 794-3520
Mailing address
908 ALLEN ST, SPRINGFIELD, MA 01118-2533
(413) 794-3520

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN259984
MA

Other

Enumeration date
09/06/2012
Last updated
01/06/2016
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