Individual
KATIE JEAN LUSSETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 E 3RD ST, NORTH PLATTE, NE 69101-4032
(308) 534-1332
Mailing address
602 SIOUX LN, NORTH PLATTE, NE 69101-6754
(308) 340-8182
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2071
NE
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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