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NPI 1962091256

IndividualActive

Cheyenne Lustila

NPI 1962091256 · Foster Care Agency · Hibbing, MN

Provider details

NPI number: 1962091256
Entity type: Individual
Primary specialty: Foster Care AgencyAgencies
Sex: Female
Sole proprietor: Yes
License: 1105450 (MN)

Practice location

3610 23rd Ave E

Hibbing, MN 55746-3556

Phone: (218) 969-0956

More MN providers

Mailing address

3610 23rd Ave E

Hibbing, MN 55746-3556

Registry dates

Enumerated: 2021-01-12
Last updated: 2021-01-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Cheyenne Lustila — NPI 1962091256, Hibbing, MN | NPI Central