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Individual
DR. JAMES V LUSTIG
Active
Individual
DR. JAMES V LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
46743
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029906261Z
HUMANA
—
05
—
1497708127
—
WI
Enumeration date
05/17/2006
Last updated
02/07/2013
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