Benedict Iane Roque Lusung
NPI #1427663418 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1427663418
- Entity Type
- Individual
- Name
- Benedict Iane Roque Lusung
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 15, 2020
- Last Updated
- Nov 10, 2020
Practice Location
- Address
- 1200 ROOSEVELT PL UNIT A
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46383-3707
- Phone
- (219) 548-4663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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