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Individual

RHONDA L LUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
3500 N VILLAGE DR STE 101, SAINT JOSEPH, MO 64506-4979
(816) 807-3746
Mailing address
2506 ASHLAND AVE, SAINT JOSEPH, MO 64506-1939
(816) 807-3746

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2021046369
MO
363LP0200X
Pediatric Nurse Practitioner
53-80732-081
KS

Other

Enumeration date
12/09/2021
Last updated
10/23/2023
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