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1518511443
ELIJAH THOMAS WOLF LUSTIG
OAKLAND, CA
NPI
1518511443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 3293)
Additional Taxonomies
174H00000X Health Educator
Enumeration Date
2019-07-29
Last Update Date
2024-10-25
Business Address
ELIJAH THOMAS WOLF LUSTIG DO
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-384-9737
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Mailing Address
ELIJAH THOMAS WOLF LUSTIG DO
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-384-9737
Copy
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