Individual
ASIA MICHELLE LUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
837 GENESEE ST, APT 14, ROCHESTER, NY 14611-3850
(585) 369-1225
Mailing address
837 GENESEE ST, APT 14, ROCHESTER, NY 14611-3850
(585) 369-1225
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325014
NY
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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