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1285680017
MICHAEL B LUSTIG
ROANOKE, VA
NPI
1285680017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VA 0101051946)
Enumeration Date
2006-05-25
Last Update Date
2008-05-20
Business Address
-- MICHAEL B LUSTIG M.D.
1906 BELLEVIEW AVE SE EMERGENCY DEPT.
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
-- MICHAEL B LUSTIG M.D.
PO BOX 2080
KILMARNOCK, VA 22482-2080
Phone number: 804-435-3508
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