Lusterio, Lucky
Lusterio, Lucky is an individual health care provider with primary practice located at 1100 Wilford Hall Loop , Jbsa Lackland TX 78236-5638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Lusterio, Lucky can be contacted via phone (210) 292-3536.Contact Information
Primary practice address
1100 Wilford Hall Loop
Jbsa Lackland TX 78236-5638
Phone: (210) 292-3536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 02004069A | Indiana |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 02004069A | Indiana |
Profile Details
| NPI number | 1609149681 |
|---|---|
| LBN Legal business name | Lusterio, Lucky |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2012 |
| Last updated | Aug 31st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609149681 | NPPES |
| Indiana | Other | 02004069A | MEDICAL LICENSE |
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