Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JAY LUSTICK, M.D.
Active Sole ProprietorDR. MICHAEL JAY LUSTICK, M.D. is a Psychiatric Neurology healthcare provider located in DERBY, Connecticut. NPI 1699943589 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · DERBY, CT
Registration Details
- NPI Number
- 1699943589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2008 (18.528845863108 yrs)
- Last Updated
- Dec 18, 2014
- License
-
023667 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 ELIZABETH STDERBY, CT, 064181802Browse CT providers · Browse ZIP 06418
- Phone
- 2039540543
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.