Search › Missouri › 207Y00000X
Jonathan Lusardi, M.D
NPI 1487940672 · on the registry since 2011
Practice
- Address
- 12255 Depaul Dr 830n
Bridgeton, MO 63044 - Phone
- (314) 291-5307
- Fax
- (314) 291-0838
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri