Individual
DR. LAWRENCE R. LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 FORT WASHINGTON AVE, 7TH FLOOR, NEW YORK, NY 10032-3722
(212) 305-8555
Mailing address
180 FORT WASHINGTON AVE, 8TH FLOOR, NEW YORK, NY 10032-3722
(212) 305-8555
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
274787
NY
207YX0901X
Otology & Neurotology Physician
274787
NY
Other
Enumeration date
05/05/2006
Last updated
07/28/2014
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