ALAN RICHARD LUSTIG MD NPI 1538144167

NPI Information

NPI: 1538144167
Provider Name: ALAN RICHARD LUSTIG, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1201 5TH AVE N
STE 302
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 821-2388
Get Directions

Alan Richard Lustig, MD is a nephrology internal medicine in St Petersburg, FL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Alan Richard Lustig, MD NPI is 1538144167. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1201 5TH AVE N
STE 302
ST PETERSBURG, FL
ZIP 33705-457
Phone: (727) 821-2388
Fax: (727) 821-6887

The NPI 1538144167 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 10/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	ME0056761	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E73492	MEDICARE UPIN
2	09809X	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
3	P00082790	OTHER		RR RETIREMENT MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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