Individual
DR. JAMES EDWARD LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7472 MEXICO ROAD, ST PETERS, MO 63376
(636) 279-1400
(636) 279-1408
Mailing address
7472 MEXICO ROAD, ST PETERS, MO 63376
(636) 279-1400
(636) 279-1408
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004440
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030913
UHC MED COMPLETE
—
01
—
129105
AETNA
—
01
—
4400458
UHC
—
01
—
9746
BLUE CROSS
—
Enumeration date
09/09/2006
Last updated
07/08/2007
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