Luster, Kim Ladell
Luster, Kim Ladell is an sole proprietor health care provider with primary practice located at 2400 N Samson Way Apt#2D, Waukegan IL 60087-5079. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Luster, Kim Ladell can be contacted via phone (122) 439-9931.Contact Information
Primary practice address
2400 N Samson Way Apt#2D
Waukegan IL 60087-5079
Phone: (122) 439-9931
Fax: (122) 494-4008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | Illinois |
Profile Details
| NPI number | 1396870051 |
|---|---|
| LBN Legal business name | Luster, Kim Ladell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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