Lustrick, Angela M

Lustrick, Angela M is an sole proprietor health care provider with primary practice located at 5225 Canyon Crest Dr Suite #62, Riverside CA 92507-6301. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Lustrick, Angela M can be contacted via phone (951) 683-0448.

Contact Information

Primary practice address
5225 Canyon Crest Dr Suite #62 Riverside CA 92507-6301
Phone: (951) 683-0448
Fax: (951) 683-4381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 02907 Washington

Profile Details

NPI number 1942436019
LBN Legal business name Lustrick, Angela M
Credentials CN, CPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2009
Last updated Jun 3rd, 2009 - about 16 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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