Individual
JENNIFER LUSTENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
214 ADAMS AVE, WEST NEWTON, MA 02465-1503
(757) 651-4092
Mailing address
214 ADAMS AVE, WEST NEWTON, MA 02465-1503
(757) 651-4092
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN518815
MA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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