Daniel Patrick Lusty

NPI #1942499447 in Chicopee, Massachusetts

Provider Information

NPI Number: 1942499447
Entity Type: Individual
Name: Daniel Patrick Lusty
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 215 FAIRVIEW AVE
City: Chicopee
State: Massachusetts
ZIP Code: 01013-2925
Phone: (413) 592-6890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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