Individual
JAMES W LUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1095 S BRADFORD ST, DOVER, DE 19904-4141
(302) 678-8100
Mailing address
1095 S BRADFORD ST, DOVER, DE 19904-4141
(302) 678-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000141
DE
Other
Enumeration date
07/17/2006
Last updated
10/31/2023
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