Most Relevant Information
Provider Data
| NPI Number: | 1003257791 |
| Provider Name: | MELODY LUST |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN.198370 |
Most Important Dates
| Enumeration Date: | 07/10/2013 |
| Last Updated: | 07/10/2013 |
Provider Practice Location
376 NEWMANS CARDINGTON RD W
PROSPECT
OH
433429759
Practice Location Phone/Fax
| Phone: | 7408027211 |
| Fax: |
Provider Mailing Location
376 NEWMANS CARDINGTON RD W
PROSPECT
OH
433429759
Provider Mailing Phone/Fax
| Phone: | 7408027211 |
| Fax: |