VINCENT LUSTIG

CHARLESTON, WV
NPI1164648424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: WV  A0063)
Enumeration Date2007-04-17
Last Update Date2007-07-09
Business Address
-- VINCENT LUSTIG Ph.D., CCC-A
2205 WASHINGTON ST E
CHARLESTON, WV 25311-2218
Phone number: 304-345-8522
Mailing Address
-- VINCENT LUSTIG Ph.D., CCC-A
5006 RENARD ST
SISSONVILLE, WV 25320-9623
Phone number: 304-988-1760