Lustofin, Stephanie Victoria

Lustofin, Stephanie Victoria is an individual health care provider with primary practice located at 325 9Th Ave , Seattle WA 98104-2420. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is her primary health care specialty. Lustofin, Stephanie Victoria can be contacted via phone (413) 221-1616.

Contact Information

Primary practice address
325 9Th Ave Seattle WA 98104-2420
Phone: (413) 221-1616
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DR61068968 Washington

Profile Details

NPI number 1720607328
LBN Legal business name Lustofin, Stephanie Victoria
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2020
Last updated Jul 13th, 2020 - about 4 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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