Individual
GEORGIANA DAVINE LUSTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 595-3192
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 595-3192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59156
OK
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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