Individual
MICHAEL EMORY LUSTGARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
834 E OCEAN BLVD, STUART, FL 34994-2428
(772) 286-2950
(772) 286-2339
Mailing address
834 E OCEAN BLVD, STUART, FL 34994-2428
(772) 286-2950
(772) 286-2339
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0036091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065662300
—
FL
01
—
340000180
RAILROAD MEDICARE
FL
Enumeration date
11/15/2005
Last updated
10/21/2010
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