Individual
MS. MELISSA K LUSTIC-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, ATC, CSCS
Contact information
Practice address
501 E 38TH ST, MAC 202, ERIE, PA 16546-0002
(814) 824-2084
Mailing address
501 E 38TH ST, MAC 202, ERIE, PA 16546-0002
(814) 824-2084
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
2255A2300X
Athletic Trainer
RTO000423
PA
Other
Enumeration date
06/20/2011
Last updated
02/29/2024
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