| Doctor Name: | MRS. LAURIE ANN LUSTIBER |
| NPI Number: | 1215087671 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SP |
| License Number: | 001987 |
| Business Practice Address: | 182 Meadows End Rd Monroe, CT - 064681741 |
| Business Phone Number: | 2032616582 |
| Business Fax Number: | 2032681084 |
| Mailing Address: | 182 Meadows End Rd, MONROE |
| State: | CT |
| Postal Code: | 064681741 |
| Phone Number: | 2032616582 |
| Fax Number: | 2032681084 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 001987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |