Individual
MS. LAFRANCES LUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5303 KOHOUT ST, MAPLE HEIGHTS, OH 44137-1029
(216) 450-9593
Mailing address
5303 KOHOUT ST, MAPLE HEIGHTS, OH 44137-1029
(216) 450-9593
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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