Individual
MICHAEL EMORY LUSTGARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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