Individual
LAUREN LUSTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 62401-2121
(217) 347-0458
(217) 342-2992
Mailing address
900 W TEMPLE AVE STE 1500, EFFINGHAM, IL 62401-2121
(217) 347-0458
(217) 342-2992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209019089
IL
Other
Enumeration date
11/22/2019
Last updated
01/26/2022
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