Individual
DANIEL LUSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
223 CHIEF JUSTICE CUSHING HWY STE 301, COHASSET, MA 02025-1391
(781) 383-6261
(781) 383-1084
Mailing address
223 CHIEF JUSTICE CUSHING HWY STE 301, COHASSET, MA 02025-1391
(781) 383-6261
(781) 383-1084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2320316
MA
Other
Enumeration date
07/16/2019
Last updated
12/04/2020
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