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Individual

DANIEL LUSTIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 CONWAY DR STE 200, KALISPELL, MT 59901-3153
(844) 215-7969
(406) 758-7080
Mailing address
202 CONWAY DR STE 200, KALISPELL, MT 59901-3153
(844) 215-7969
(406) 758-7080

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
49836
MT
2080P0206X
Pediatric Gastroenterology Physician
MD60021216
WA

Other

Enumeration date
01/04/2007
Last updated
11/27/2023
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