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Individual

DR. LAURA LUSTIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
49 JOHN ST, SUITE 102, SOUTHPORT, CT 06890-1436
(203) 307-3030
(203) 255-7486
Mailing address
49 JOHN ST, SUITE 102, SOUTHPORT, CT 06890-1436
(203) 307-3030
(203) 255-7486

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
CT 001785
CT
106H00000X
Marriage & Family Therapist
Primary
CT 000015
CT

Other

Enumeration date
04/17/2007
Last updated
09/11/2025
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