Lustig, Linda

Lustig, Linda is an individual health care provider with primary practice located at 10229 W Greenfield Ave , West Allis WI 53214. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Lustig, Linda can be contacted via phone (414) 453-6330.

Contact Information

Primary practice address
10229 W Greenfield Ave West Allis WI 53214
Fax: (414) 453-6523
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2531125 Wisconsin

Profile Details

NPI number 1700989837
LBN Legal business name Lustig, Linda
Credentials MS ART THERAPY
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1700989837 NPPES
Wisconsin MEDICAID 39692400

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