NPI 1164993317

Elaine Kate Lustgarten, MSLATATC

Practitioner Athletic Trainer Munster, IN

Practice location

Address: 9042 Columbia Ave STE B, Munster, IN 46321-2928
Phone: (219) 836-4461
Mailing address: 379 E 500 N, Valparaiso, IN 46383-8333

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000033970 (IN)

Other Specialist/Technologist providers in Indiana →

Registry record

NPI: 1164993317
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2018
Record last updated: 16 Dec 2018

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.