Lustig, Alan Richard

Lustig, Alan Richard is an sole proprietor health care provider with primary practice located at 1201 5Th Ave N Ste 302, St Petersburg FL 33705-1457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lustig, Alan Richard can be contacted via phone (727) 821-2388.

Contact Information

Primary practice address
1201 5Th Ave N Ste 302 St Petersburg FL 33705-1457
Phone: (727) 821-2388
Fax: (727) 821-6887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME0056761 Florida

Profile Details

NPI number 1538144167
LBN Legal business name Lustig, Alan Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Oct 26th, 2007 - about 17 years ago

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 1538144167 NPPES
Other P00082790 RR RETIREMENT MEDICARE

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