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Individual

LINDSAY LUSTIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
5695 KING CENTRE DR, STE. 100, ALEXANDRIA, VA 22315-5744
(540) 720-2261
(540) 720-5660
Mailing address
5695 KING CENTRE DR, STE. 100, ALEXANDRIA, VA 22315-5744
(540) 720-2261
(540) 720-5660

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305209498
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2305209498
VA BOARD OF PHYSICAL THERAPY
VA
Enumeration date
01/21/2016
Last updated
01/21/2016
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