HEATHER LYNN LUSTIG

FARMINGTON HILLS, MI
NPI1942439815
Former NameHEATHER LYNN DECOVICH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704224096)
Enumeration Date2009-07-13
Last Update Date2022-11-16
Business Address
HEATHER LYNN LUSTIG NP
32255 NORTHWESTERN HWY STE 214
FARMINGTON HILLS, MI 48334-1573
Phone number: 248-855-5620
Mailing Address
HEATHER LYNN LUSTIG NP
6900 ORCHARD LAKE RD STE 204
WEST BLOOMFIELD, MI 48322-3425
Phone number: 248-855-4177