COURTNEY BRIAN LUST

CAMP LEJEUNE, NC
NPI1982906483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2010-12-03
Last Update Date2016-11-03
Business Address
-- COURTNEY BRIAN LUST IDC
2D RECONNAISSANCE BN, BLDNG A-71 PSC BOX 20138
CAMP LEJEUNE, NC 28542-0138
Phone number: 910-440-7719
Mailing Address
-- COURTNEY BRIAN LUST IDC
28 LION LN
CAMERON, NC 28326-6277
Phone number: 910-396-4240