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Individual
DR. JAMES EDWARD LUSTIG
Active
Individual
DR. JAMES EDWARD LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004440
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030913
UHC MED COMPLETE
—
01
—
129105
AETNA
—
01
—
4400458
UHC
—
01
—
9746
BLUE CROSS
—
Enumeration date
09/09/2006
Last updated
07/08/2007
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