Dr Laura Lustig, PHD is a
Marriage & Family Therapist based in Southport, Connecticut. Dr Laura Lustig is licensed to practice in Connecticut (license number CT 000015) and her current practice location is
49 John St, Suite 102, Southport, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 307-3030.
NPI number for Dr Laura Lustig is 1598981904 and her current mailing address is 49 John St, Suite 102, Southport, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598981904.
Healthcare Provider's Profile
| Full Name | Dr Laura Lustig |
|---|
| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 49 John St, Southport, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598981904
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Laura Lustig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598981904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | CT 001785 (Connecticut) | Primary |
| 106H00000X | Marriage & Family Therapist | CT 000015 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Laura Lustig is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Laura Lustig, PHD
49 John St, Suite 102,
Southport, CT 06890-1436
Ph: (203) 307-3030 | Dr Laura Lustig, PHD
49 John St, Suite 102,
Southport, CT 06890-1436
Ph: (203) 307-3030 |
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