Individual
WILLIAM F LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 MIDDLE DR, COLUMBUS, IN 47203-4427
(812) 372-8281
(812) 372-4525
Mailing address
3201 MIDDLE DR, COLUMBUS, IN 47203-4427
(812) 372-8281
(812) 372-4525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028641A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000991451
ANTHEM PIN
IN
01
—
080084365
MEDICARE RR
—
05
—
100052010
—
IN
Enumeration date
07/24/2006
Last updated
04/26/2016
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