Lustig, Cheryl L.

Lustig, Cheryl L. is an individual health care provider with primary practice located at 1650 S 41St St , Manitowoc WI 54220-7316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lustig, Cheryl L. can be contacted via phone (920) 320-4500.

Contact Information

Primary practice address
1650 S 41St St Manitowoc WI 54220-7316
Phone: (920) 320-4500
Fax: (920) 682-9378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4126-33 Wisconsin

Profile Details

NPI number 1821300443
LBN Legal business name Lustig, Cheryl L.
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2010
Last updated Nov 28th, 2018 - about 8 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 1821300443 NPPES
Wisconsin MEDICAID 1821300443

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