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1811982531
THOMAS J LUSTBERG
BRADENTON, FL
NPI
1811982531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: FL ME85868)
Enumeration Date
2005-09-19
Last Update Date
2007-07-08
Business Address
-- THOMAS J LUSTBERG MD FACS
379 6TH AVE W
BRADENTON, FL 34205-8820
Phone number: 941-782-4259
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Mailing Address
-- THOMAS J LUSTBERG MD FACS
379 6TH AVE W
BRADENTON, FL 34205-8820
Phone number: 941-782-4259
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