Organization
ALAN R LUSTIG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN R LUSTIG MD (PRESIDENT)
(727) 821-2388
Entity
Organization
Contact information
Practice address
1201 5TH AVE N, SUITE 302, ST PETERSBURG, FL 33705-1400
(727) 821-2388
(727) 821-6887
Mailing address
1201 5TH AVE N, SUITE 302, ST PETERSBURG, FL 33705-1400
(727) 821-2388
(727) 821-6887
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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