Lustberg, Alexander Michael

Lustberg, Alexander Michael is an individual health care provider with primary practice located at 500 Doyle Park Dr Suite G04, Santa Rosa CA 95405-4558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lustberg, Alexander Michael can be contacted via phone (707) 303-8349.

Contact Information

Primary practice address
500 Doyle Park Dr Suite G04 Santa Rosa CA 95405-4558
Phone: (707) 303-8349
Fax: (707) 303-2694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A-86284 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A86284 California

Profile Details

NPI number 1225009301
LBN Legal business name Lustberg, Alexander Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225009301 NPPES
California MEDICAID 00A862840

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