Individual
ELIZABETH BURGESS LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 PINE ST APT 2, PHILADELPHIA, PA 19103-6536
(215) 816-1216
Mailing address
2040 PINE ST, PHILADELPHIA, PA 19103-6536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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