SERGIO LUSTRE
NPI 1902363245
Case Manager/Care Coordinator in Lynnwood, WA

Q: What is Sergio Lustre's NPI number?

The NPI number for Sergio Lustre is 1902363245. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Q: What is Sergio Lustre's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Sergio Lustre was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2019

4111 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036(425) 977-2560 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sergio Lustre NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGIO LUSTRE (NPI 1902363245) is an individual case manager/care coordinator provider in Lynnwood, Washington and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1902363245

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameSERGIO LUSTRE

Location Address4111 ALDERWOOD MALL BLVDLynnwood, WA 98036-6765

Mailing Address4111 Alderwood Mall BlvdLynnwood, WA 98036-6765 · (425) 977-2560

Phone(425) 977-2560

Sole ProprietorNo

Enumeration DateFebruary 22, 2019

✔ NPI 1902363245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

4111 ALDERWOOD MALL BLVD, Lynnwood, WA 98036

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Other Identifiers 1

Medicaid9HP000482739WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEA MAR COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))