Individual
DOROTHE LUSTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 CARMEL COMMONS BLVD, CHARLOTTE, NC 28226-5318
(949) 600-3400
Mailing address
11301 CARMEL COMMONS BLVD STE 108, CHARLOTTE, NC 28226-5305
(949) 600-3400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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