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Matthew Lustig

NPI 1679006746 · on the registry since 2017

Practice

Address
9 Richland Medical Park Dr Ste 110
Columbia, SC 29203
Phone
(803) 434-7951
Fax
(803) 758-0134
Organisation at this address
Palmetto Health
Palmetto Health
Palmetto Health
Palmetto Health
Palmetto Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
167

Additional practice sites

  • 625 19th St S, Birmingham, AL

Registry record

Primary taxonomy
2080P0008X
2080P0008X
Also registered as
390200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina