Individual
MR. THOMAS R LUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN.MS
Contact information
Practice address
160 BENMONT AVE, STE. 24, BENNINGTON, VT 05201-1873
(413) 496-1831
Mailing address
160 BENMONT AVE, STE. 24, BENNINGTON, VT 05201-1873
(413) 496-1831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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