Individual
DR. DAVID MICHAEL LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13933 17TH ST, SUITE 201, DADE CITY, FL 33525-4604
(352) 437-4505
(352) 437-4709
Mailing address
13933 17TH ST, SUITE 201, DADE CITY, FL 33525-4604
(352) 437-4505
(352) 437-4709
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us