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Individual

DR. JACOB J LUSTGARTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
0101229914
VA
2086S0129X
Vascular Surgery Physician
D0056700
MD
2086S0129X
Vascular Surgery Physician
D56700
MD
2086S0129X
Vascular Surgery Physician
Primary
MD32668
DC

Other

Enumeration date
02/21/2007
Last updated
06/21/2023
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