Individual
DR. DAVID LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 246-7000
(513) 246-7590
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7796
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35054946
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2043925
—
OH
Enumeration date
06/09/2006
Last updated
09/05/2014
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