Matthew Lustig

Individual Active
NPI 1679006746
Pediatric Neurodevelopmental Disabilities Physician Columbia, SC

Matthew Lustig holds NPI 1679006746, with a primary taxonomy of pediatric neurodevelopmental disabilities physician and a practice location in Columbia, SC. The number was issued on April 6, 2017 and the NPPES record was last updated on June 7, 2022. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Neurodevelopmental Disabilities Physician Primary 2080P0008X 87712 (SC)
Student in an Organized Health Care Education/Training Program 390200000X Not listed

Practice locations

9 Richland Medical Park Dr Ste 110
Columbia, SC 29203-6859
Phone: (803) 434-7951
625 19th St S
Birmingham, AL 35233-1900
Phone: (205) 996-7859

Local context

Active NPPES records list 1 provider with pediatric neurodevelopmental disabilities physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 4 in South Carolina and 362 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Matthew Chase Lustig
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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