Organization
LUSOMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETEVANI SHAVLIASHVILI NON-US MD DEGREE (FOUNDER & CEO)
(347) 733-3709
Entity
Organization
Contact information
Practice address
2635 E 24TH ST APT 1, BROOKLYN, NY 11235-2698
(347) 733-3709
Mailing address
2635 E 24TH ST APT 1, BROOKLYN, NY 11235-2698
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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