Lustig, David Michael

Lustig, David Michael is an individual health care provider with primary practice located at 13933 17Th St Suite 201, Dade City FL 33525-4604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lustig, David Michael can be contacted via phone (352) 437-4505.

Contact Information

Primary practice address
13933 17Th St Suite 201 Dade City FL 33525-4604
Phone: (352) 437-4505
Fax: (352) 437-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME 128530 Florida

Profile Details

NPI number 1093896367
LBN Legal business name Lustig, David Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Feb 1st, 2017 - about 7 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 1093896367 NPPES
Georgia Other 340018922 RAILROAD MEDICARE
Georgia Other 434494 RAILROAD MEDICARE
Georgia Other 542025035 RAILROAD MEDICARE
Georgia Other 7503962 RAILROAD MEDICARE
Georgia Other 0380470 RAILROAD MEDICARE
Georgia Other 3433588 RAILROAD MEDICARE
Georgia Other 2127380 RAILROAD MEDICARE
Georgia MEDICAID 007503962 RAILROAD MEDICARE

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