Individual
CHRISTOPHER EDWARD LUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2015008275
MO
208000000X
Pediatrics Physician
Primary
67214
MN
2080N0001X
Neonatal-Perinatal Medicine Physician
2015008275
MO
Other
Enumeration date
06/28/2012
Last updated
04/20/2020
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