Individual
LAUREN C LUSTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1321 E POPLAR ST, DEMING, NM 88030-4807
(575) 546-5951
(575) 546-5994
Mailing address
3725 TRIBECA DR APT 302, MIDDLETON, WI 53562-1416
(715) 590-2501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7695
NM
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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