Individual
DEBRA A LUSTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
451 HIDDEN MEADOWS DR, SUITE, HILLSDALE, MI 49242-9812
(517) 437-0010
(517) 437-0319
Mailing address
451 HIDDEN MEADOWS DR, SUITE, HILLSDALE, MI 49242-9812
(517) 437-0010
(517) 437-0319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120047
PHP
MI
01
—
0153000045
BCBS
MI
01
—
080044812
MEDICARE
MI
01
—
102058
GLHP
MI
05
—
2935050
—
MI
01
—
P89540
BCN
MI
Enumeration date
07/08/2005
Last updated
04/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us