MATTHEW LUSTIG
Pediatrics - Neurodevelopmental Disabilities
Active
Individual
NPI: 1679006746
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics - Neurodevelopmental Disabilities | 2080P0008X | Yes | 87712 (SC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1679006746 is the National Provider Identifier for MATTHEW LUSTIG, a Pediatrics - Neurodevelopmental Disabilities provider located in Columbia, SC. This NPI was enumerated on April 6, 2017.
MATTHEW LUSTIG practices at 9 RICHLAND MEDICAL PARK DR STE 110, Columbia, SC 29203.
Quick Facts
- NPI
- 1679006746
- Type
- Individual
- Enumerated
- Apr 6, 2017
- Last Updated
- Jun 7, 2022
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