Matthew Chase Lustig
Matthew Chase Lustig is a Pediatric Neurodevelopmental Disabilities Physician in Columbia, South Carolina. Works from 2 locations. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
9 Richland Medical Park Dr Ste 110Columbia, SC 29203-6859
Phone: (803) 434-7951
Fax: (803) 758-0134
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 625 19th St S, Birmingham, AL 35233-1900 — (205) 996-7859
Specialties & licences
| Pediatric Neurodevelopmental Disabilities Physician (primary) | Taxonomy 2080P0008X · Licence 87712 (SC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1679006746 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 6, 2017 |
| Last updated in NPPES | June 7, 2022 |
| Certification date | June 7, 2022 |