Individual
DR. KEITH A. LUSTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2151 SHENANGO VALLEY FWY, HERMITAGE, PA 16148-2586
(724) 981-2522
Mailing address
2151 SHENANGO VALLEY FWY, HERMITAGE, PA 16148-2586
(724) 981-2522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD029847E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095398
HIGHMARK
PA
05
—
1088953
—
PA
Enumeration date
01/07/2008
Last updated
01/07/2008
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