KELLIE J LUSTENBERGER

CARBONDALE, IL
NPI1295923779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209006728)
Enumeration Date2007-10-09
Last Update Date2008-05-14
Business Address
-- KELLIE J LUSTENBERGER N.P.
305 W. JACKSON, SUITE 100 NEW HORIZONS OBSTETRICS & GYNECOLOGY
CARBONDALE, IL 62901
Phone number: 618-457-0404
Mailing Address
-- KELLIE J LUSTENBERGER N.P.
305 W JACKSON ST STE 100
CARBONDALE, IL 62901-1474
Phone number: 618-457-0404
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