Individual
DR. LUCKY LUSTERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-3536
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-3536
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
02004069A
IN
208D00000X
General Practice Physician
Primary
02004069A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02004069A
MEDICAL LICENSE
IN
Enumeration date
02/21/2012
Last updated
10/10/2025
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