Individual
DR. WILLIAM BAILEY LUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 BIENVILLE ST, SUITE B, NATCHITOCHES, LA 71457-5730
(318) 238-6401
(318) 238-6402
Mailing address
PO BOX 488, NATCHITOCHES, LA 71458-0488
(318) 238-6401
(318) 238-6402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204308
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDS.040498-MD
LOUISIANA CONTROLLE AND DANGEROUS SUBSTANCES
LA
01
—
MD.204308
LOUISIANA MEDICAL LICENSE
LA
Enumeration date
04/19/2009
Last updated
03/07/2023
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