Mark E Lustberg in Madison - Infectious Disease
Mark E Lustberg - NPI 1104948934
Mark E Lustberg is a Infectious Disease in Madison, Connecticut. Mark E Lustberg practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Mark E Lustberg is 1104948934. The last update date is 2022-01-27.
Mark E Lustberg's current location address is 117 Randi Dr, Madison, Connecticut. You can contact this provider via phone number 4103753160. The mailing address for Mark E Lustberg is 117 Randi Dr, Madison, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark E Lustberg |
|---|---|
| Address | 117 Randi Dr, Madison, Connecticut |
| Phone Number | 4103753160 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104948934 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2022-01-27 |
Provider Mailing Address Detail
| Address | 117 Randi Dr |
|---|---|
| City | Madison |
| State | Connecticut (CT) |
| Post Code | 64432483 |
| Phone Number | 4103753160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | 67997 |
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Definition: An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2954478 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark E Lustberg?
The Mark E Lustberg has been issued the NPI (National Provider Identifier) 1104948934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mark E Lustberg?
The Mark E Lustberg is situated at 117 Randi Dr, in the city of Madison, state of CT, with the zip code 64432483.
What is Mark E Lustberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark E Lustberg's specialized field of practice is Infectious Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Ri0200X.
On what date did Mark E Lustberg receive its 1104948934 assignment from the Centers for Medicare & Medicaid Services?
The Mark E Lustberg was assigned its 1104948934 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark E Lustberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark E Lustberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-27.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY