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Dr. David Michael Lustig, MD
Urology Physician in Dade City, Florida
NPI 1093896367

David Michael Lustig is a Urology Physician based in Dade City, FL. David Michael Lustig practices in Dade City, FL and has the professional credentials of MD. The NPI Number for David Michael Lustig is 1093896367 and holds a License No. ME 128530 (Florida).

The current practice location address for David Michael Lustig is 13933 17Th St, Dade City, FL and can be reached out via phone at 352-437-4505 and via fax at 352-437-4709.

Location: 13933 17Th St, Dade City, FL, 33525-4604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093896367
Provider Name
David Michael Lustig
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13933 17Th St, Dade City, FL, 33525-4604
Phone Number
352-437-4505
Fax Number
352-437-4709
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340018922 01 GA RAILROAD MEDICARE
434494 01 VA ANTHEM
542025035 01 VA TRICARE
7503962 01 VA VIRGINIA PREMIER
0380470 01 VI CIGNA
3433588 01 VA AETNA
2127380 01 VA MDIPA
007503962 05 VA
institution
Provider Business Practice Location Address Details
Address
13933 17Th St
City
Dade City
State
Florida
Zip
33525-4604
Phone Number
352-437-4505
Fax Number
352-437-4709
person
Provider Business Mailing Address Details
Address
13933 17Th St
City
Dade City
State
Florida
Zip
33525-4604
Phone Number
352-437-4505
Fax Number
352-437-4709
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
ME 128530 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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