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DAVID LUSTIG DO NPI 1316971252


NPI Information

NPI: 1316971252
Provider Name: DAVID LUSTIG, DO
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
43475 DALCOMA DRIVE
STE. 100
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (877) 784-3667
Get Directions

David Lustig, DO is a neurology psychiatry neurology in Clinton Township, MI with 59 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. David Lustig, DO NPI is 1316971252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1965

The provider's business location address is:

43475 DALCOMA DRIVE
STE. 100
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (877) 784-3667
Fax: (586) 408-6071

The NPI 1316971252 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyDL005558MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18509030MEDICARE PINMICHIGAN
28502421OTHERMICHIGANMEDICARE
31022998MEDICAIDMICHIGAN
41355024214OTHERMICHIGANBLUE CARE NETWORK
59500003OTHERMICHIGANMEDICARE
60Q26462MEDICARE PINMICHIGAN
7E33206MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.