Individual
NICHOLAS MCKENZIE LUSTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1738433
WI
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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