Individual
DR. WILLIAM J LUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
109 E MILWAUKEE ST, JEFFERSON, WI 53549-1635
(920) 674-6627
(920) 674-6632
Mailing address
1823 BOURBON RD, CROSS PLAINS, WI 53528-9436
(608) 798-3300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4242-012
WI
Other
Enumeration date
08/31/2006
Last updated
08/04/2021
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