Individual
HEATHER LYNN LUSTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
32255 NORTHWESTERN HWY STE 214, FARMINGTON HILLS, MI 48334-1573
(248) 855-5620
Mailing address
6900 ORCHARD LAKE RD STE 204, WEST BLOOMFIELD, MI 48322-3425
(248) 855-4177
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704224096
MI
Other
Enumeration date
07/13/2009
Last updated
11/16/2022
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