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Individual

ADAM CRAIG LUSTIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 466-0089
Mailing address
DEPT OF RADIOLOGY # 7510, 2107 OLD CLINIC CLB, CHAPEL HILL, NC 27599-0001
(804) 828-3524

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101252627
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101252627
VA

Other

Enumeration date
05/10/2011
Last updated
11/21/2023
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