Provider Demographics
NPI:1093377228
Name:LUSTER, LAFRANCES
Entity Type:Individual
Prefix:MS
First Name:LAFRANCES
Middle Name:
Last Name:LUSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAFRANCES
Other - Middle Name:
Other - Last Name:CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5303 KOHOUT ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-1029
Mailing Address - Country:US
Mailing Address - Phone:216-450-9593
Mailing Address - Fax:
Practice Address - Street 1:5303 KOHOUT ST
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-1029
Practice Address - Country:US
Practice Address - Phone:216-450-9593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle
No171W00000XOther Service ProvidersContractor