Lust, Olivia Nicole

Lust, Olivia Nicole is an individual health care provider with primary practice located at 3727 Friendsville Rd Unit 5 , Wooster OH 44691-7131. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lust, Olivia Nicole can be contacted via phone (330) 202-3420.

Contact Information

Primary practice address
3727 Friendsville Rd Unit 5 Wooster OH 44691-7131
Phone: (330) 202-3420
Fax: (330) 202-3347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.006500 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1811510761
LBN Legal business name Lust, Olivia Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2020
Last updated Mar 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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