Organization
DAVID LUSTIG DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LUSTIG DO (PHYSICIAN)
(586) 758-7330
Entity
Organization
Contact information
Practice address
13355 E 10 MILE RD, 224, WARREN, MI 48089-2048
(586) 758-7330
(586) 758-5344
Mailing address
13355 E 10 MILE RD, 224, WARREN, MI 48089-2048
(586) 758-7330
(586) 758-5344
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1385024215
BCBS
MI
01
—
1385030905
BCBS
MI
Enumeration date
03/05/2008
Last updated
03/05/2008
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