Michael L Lustbader in Beaver - Specialist
Michael L Lustbader - NPI 1518923150
Michael L Lustbader is a Specialist in Beaver, Pennsylvania. Michael L Lustbader practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael L Lustbader is 1518923150. The last update date is 2011-04-07.
Michael L Lustbader's current location address is 701 Fifth Street, Beaver, Pennsylvania. You can contact this provider via phone number 7247756500 and fax number 7247756755. The mailing address for Michael L Lustbader is 701 Fifth Street, Beaver, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael L Lustbader |
|---|---|
| Address | 701 Fifth Street, Beaver, Pennsylvania |
| Phone Number | 7247756500 |
| Fax Number | 7247756755 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1518923150 |
|---|---|
| Provider Enumeration Date | 2006-04-22 |
| Last Updated Date | 2011-04-07 |
Provider Mailing Address Detail
| Address | 701 Fifth Street |
|---|---|
| City | Beaver |
| State | Pennsylvania (PA) |
| Post Code | 15009 |
| Phone Number | 7247756500 |
| Fax Number | 7247756755 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD031897E |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 251603474-00 | PA | BWC | |
| B36620 | PA | HEALTH AMERICA UPIN | |
| 115067 | PA | ANTHEM BC BS | |
| 251711755 | PA | HEALTH AMERICA | |
| 34002813 | PA | RAILROAD MEDICARE | |
| 251711755 | PA | UPMC | |
| 10296 | PA | MED PLUS INDIVIDUAL | |
| 105466 | PA | BLUE SHEILD PA | |
| 794145 | OH | -- | |
| 983011-0004 | PA | -- |
Post Comment/ Review Below
What is the Michael L Lustbader's 1518923150?
The Michael L Lustbader's NPI (National Provider Identifier) Number is 1518923150. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael L Lustbader?
The Michael L Lustbader is physically situated at 701 Fifth Street, in the city of Beaver, state of PA, with the postal code 15009.
What is Michael L Lustbader's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael L Lustbader is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518923150 to Michael L Lustbader?
The Michael L Lustbader received its 1518923150 assignment from the Centers for Medicare & Medicaid Services on 2006-04-22.
As of what date was the information regarding Michael L Lustbader, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael L Lustbader, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-04-07.
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