person
Michael L Lustbader, MD
Specialist in Beaver, Pennsylvania
NPI 1518923150

Michael L Lustbader is a Specialist based in Beaver, PA. Michael L Lustbader practices in Beaver, PA and has the professional credentials of MD. The NPI Number for Michael L Lustbader is 1518923150 and holds a License No. MD031897E (Pennsylvania).

The current practice location address for Michael L Lustbader is 701 Fifth Street, Beaver, PA and can be reached out via phone at 724-775-6500 and via fax at 724-775-6755.

Location: 701 Fifth Street, Beaver, PA, 15009
person
Provider Profile Details
NPI Number
1518923150
Provider Name
Michael L Lustbader
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
701 Fifth Street, Beaver, PA, 15009
Phone Number
724-775-6500
Fax Number
724-775-6755
Provider Enumeration Date
04/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
251603474-00 01 PA BWC
B36620 01 PA HEALTH AMERICA UPIN
000000115067 01 PA ANTHEM BC BS
251711755 01 PA HEALTH AMERICA
34002813 01 PA RAILROAD MEDICARE
251711755 01 PA UPMC
10296 01 PA MED PLUS INDIVIDUAL
105466 01 PA BLUE SHEILD PA
0794145 05 OH
983011-0004 05 PA
0949960 05 OH
1008649 01 PA GATEWAY INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
701 Fifth Street
City
State
Zip
15009
Phone Number
724-775-6500
Fax Number
724-775-6755
person
Provider Business Mailing Address Details
Address
701 Fifth Street
City
State
Zip
15009
Phone Number
724-775-6500
Fax Number
724-775-6755
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD031897E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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