Organization
LUSTEK ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MCKENZIE LUSTEK CRNA, DNP (CERTIFIED REGISTERED NURSE ANESTHET)
(262) 305-8211
Entity
Organization
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
W169N11564 BISCAYNE DR, GERMANTOWN, WI 53022-3283
(262) 305-8211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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