IndividualActive
Shannon Lustila
NPI 1831255074 · Lodging Provider · Hibbing, MN
Provider details
- NPI number
- 1831255074
- Entity type
- Individual
- Primary specialty
- Lodging ProviderOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 222281-1-AFC (MN)
Specialties & taxonomies
Other Service Providers
Practice location
201 Hematite St
Hibbing, MN 55746-3129
Phone: (218) 263-4840
Approximate (ZIP-level) locationGet directions
Mailing address
201 Hematite St
Hibbing, MN 55746-3129
Registry dates
- Enumerated
- 2006-12-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.