KIM LADELL LUSTER

WAUKEGAN, IL
NPI1396870051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: IL  238.000125)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
Mr. KIM LADELL LUSTER
2400 N SAMSON WAY APT#2D
WAUKEGAN, IL 60087-5079
Phone number: 122-439-9931
Mailing Address
Mr. KIM LADELL LUSTER
2400 N SAMSON WAY APT#2D
WAUKEGAN, IL 60087-5079
Phone number: 122-439-9931