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Individual
DR. RAMON LUSTESTICA IGNACIO
Active
Individual
DR. RAMON LUSTESTICA IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
064649
GA
207R00000X
Internal Medicine Physician
10511724-1205
UT
207R00000X
Internal Medicine Physician
MD-47402
IA
207R00000X
Internal Medicine Physician
P3732
TX
208M00000X
Hospitalist Physician
064649
GA
208M00000X
Hospitalist Physician
Primary
MD-47402
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01393936
AMERIGROUP
—
05
—
486524862A
—
GA
01
—
52289319-001
BCBS
GA
01
—
564147
WELLCARE
GA
05
—
GA1116
—
SC
01
—
P00870118
RAILROAD MEDICARE
—
Enumeration date
09/13/2007
Last updated
04/17/2024
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