Individual
DR. RAMON LUSTESTICA IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245-2633
(319) 339-3551
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 339-3551
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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