Dr. Lustgarten is a Chiropractor based in Madison, CT. Dr. Lustgarten practices in Madison, CT. The NPI Number for Dr. Lustgarten is 1578736120 and holds a License No. 476 (Connecticut).
The current practice location address for Dr. Lustgarten is 15 Meigs Ave, Madison, CT and can be reached out via phone at 203-245-8217.
Location: 15 Meigs Ave, Madison, CT, 06443-3057
Provider Profile Details
NPI Number
1578736120
Provider Name
Dr. Lustgarten
Credential
Provider Entity Type
Organization
Address
15 Meigs Ave, Madison, CT, 06443-3057
Phone Number
203-245-8217
Fax Number
Provider Enumeration Date
04/03/2008
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004095099 | 05 | CT |
Provider Business Practice Location Address Details
Address
15 Meigs Ave
City
State
Zip
06443-3057
Phone Number
203-245-8217
Fax Number
Provider Business Mailing Address Details
Address
15 Meigs Ave
City
State
Zip
06443-3057
Phone Number
203-245-8217
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
476 (Connecticut)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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