Individual
DR. DAVID MICHAEL LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 128530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007503962
—
VA
01
—
0380470
CIGNA
VI
01
—
2127380
MDIPA
VA
01
—
340018922
RAILROAD MEDICARE
GA
01
—
3433588
AETNA
VA
01
—
434494
ANTHEM
VA
01
—
542025035
TRICARE
VA
01
—
7503962
VIRGINIA PREMIER
VA
Enumeration date
10/17/2006
Last updated
02/01/2017
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