NPI 1104255843
Annex Luberisse, ND
Practice location
- Address
- 1674 S Odell Ave # B, Marshall, MO 65340-3365
- Phone
- (660) 229-0858
Registered specialties
Naturopath
Primary
Registry record
- NPI
- 1104255843
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Nov 2013
- Record last updated
- 4 Nov 2013
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.