Individual
KRISTELLE LUSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CITY BLVD W, #705, ORANGE, CA 92868-2903
(714) 456-5532
Mailing address
6399 SAN IGNACIO AVE STE 120, SAN JOSE, CA 95119-1215
(408) 369-5620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A107784
CA
Other
Enumeration date
06/13/2009
Last updated
03/19/2024
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