NPI 1053124990
Kimberley Ann Lustick, CLS
Practice location
- Address
- 111 N County Farm Rd, Wheaton, IL 60187-3988
- Phone
- (630) 221-7316
- Fax
- (630) 510-5412
Registered specialties
Lactation Consultant (Non-RN)
Primary
Registry record
- NPI
- 1053124990
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jan 2025
- Record last updated
- 27 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.