Lustine, Howard Todd

Lustine, Howard Todd is an individual health care provider with primary practice located at 100 E Lancaster Ave Suite 230, Wynnewood PA 19096-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Lustine, Howard Todd can be contacted via phone (610) 642-3796.

Contact Information

Primary practice address
100 E Lancaster Ave Suite 230 Wynnewood PA 19096-3450
Fax: (610) 642-2943
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD056468L Pennsylvania

Profile Details

NPI number 1881625218
LBN Legal business name Lustine, Howard Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1881625218 NPPES
Pennsylvania MEDICAID 0017739030002

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