DANIEL LUSTICK FNP NPI 1588216857

NPI Information

  • NPI: 1588216857
  • Provider Name: DANIEL LUSTICK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 223 CHIEF JUSTICE CUSHING HWY STE 301
    COHASSET, MA
    ZIP 02025
  • Phone: (781) 383-6261

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NPI Details

Daniel Lustick, FNP is a family nurse practitioner in Cohasset, MA. Daniel Lustick, FNP NPI is 1588216857. 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:

223 CHIEF JUSTICE CUSHING HWY STE 301
COHASSET, MA
ZIP 02025-391
Phone: (781) 383-6261
Fax: (781) 383-1084

The NPI 1588216857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2019 and was last updated on 12/4/2020.

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
1363LF0000XNurse PractitionerFamilyRN2320316MASSACHUSETTSYes

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: 3/30/2025

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