Individual
DEBRA LUSTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 NATIONWIDE DR, LYNCHBURG, VA 24502-4271
(434) 239-7890
Mailing address
209 OLD GRAVES MILL RD APT 45, LYNCHBURG, VA 24502-5354
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110009609
VA
Other
Enumeration date
07/18/2023
Last updated
10/24/2023
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