Justin Darnell Luster

NPI #1013532910 in Dayton, Ohio

Provider Information

NPI Number: 1013532910
Entity Type: Individual
Name: Justin Darnell Luster
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 16, 2020
Last Updated: Jun 16, 2020

Practice Location

Address: 714 E MAIN ST
City: Dayton
State: Ohio
ZIP Code: 45426-2909
Phone: (254) 577-0733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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