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1679252456
DEBRA LUSTIG
LYNCHBURG, VA
NPI
1679252456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110009609)
Enumeration Date
2023-07-18
Last Update Date
2023-10-24
Business Address
DEBRA LUSTIG
114 NATIONWIDE DR
LYNCHBURG, VA 24502-4271
Phone number: 434-239-7890
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Mailing Address
DEBRA LUSTIG
209 OLD GRAVES MILL RD APT 45
LYNCHBURG, VA 24502-5354
Phone number:
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