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Individual

MISS SONIA A LUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3303
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1999138175
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209020916
IL

Other

Enumeration date
05/06/2009
Last updated
09/10/2025
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