Individual
LAUREN NICOLE KUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(407) 514-3668
(321) 843-2196
Mailing address
62 COLUMBIA ST, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-1673
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11007086
FL
367500000X
Certified Registered Nurse Anesthetist
RN9408688
FL
Other
Enumeration date
03/22/2020
Last updated
05/02/2024
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