Lustig, Eric Steven

Lustig, Eric Steven is an individual health care provider with primary practice located at 4715 Pine St , Philadelphia PA 19143-1831. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lustig, Eric Steven can be contacted via phone (215) 471-0433.

Contact Information

Primary practice address
4715 Pine St Philadelphia PA 19143-1831
Phone: (215) 471-0433
Fax: (215) 471-0430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002614L Pennsylvania

Profile Details

NPI number 1063419117
LBN Legal business name Lustig, Eric Steven
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 9th, 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 1063419117 NPPES
Pennsylvania Other LU1436109 PA. BLUE SHIELD

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