Richard W Lustig D.O.

NPI 1053310045 - Internal Medicine - 207R00000X

NPI Details
NPI 1053310045
Gender Male
Enumeration Date 07/20/2005
Last Updated 02/19/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
KANSAS CITY MO, 64111-5941, US
Phone (816) 932-6100
Fax (816) 932-9002
Business Location
PO BOX 504407
SAINT LOUIS MO, 63150-0001, US
Phone (816) 932-7940
Fax (816) 932-7957
Taxonomy Code 207R00000X
License State Missouri
License Number 112935
Remove 1053310045 NPI Number

According to our database, Dr. Richard W Lustig D.O. NPI is 1053310045, taxonomy code is 207R00000X and license number is 112935, license state is located at Missouri. Richard W Lustig D.O. physically located at 4320 Wornall Rd, Kansas City MO, 64111-5941. NPI Number Richard W Lustig D.O. has the Individual type.

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1053310045 NPI number is provided on an as is basis without warranty of any kind. 1053310045 is maintained by the National Plan & Provider Enumeration System. The contents of Richard W Lustig D.O. are for informational purposes only.