| Heather Lynn Lustig, NP | |
|
32255 Northwestern Hwy Ste 214, Farmington Hills, MI 48334-1573 | |
| (248) 855-5620 | |
| Not Available |
| Full Name | Heather Lynn Lustig |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 32255 Northwestern Hwy Ste 214, Farmington Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942439815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 4704224096 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Lynn Lustig, NP 6900 Orchard Lake Rd Ste 204, West Bloomfield, MI 48322-3425 Ph: (248) 855-4177 | Heather Lynn Lustig, NP 32255 Northwestern Hwy Ste 214, Farmington Hills, MI 48334-1573 Ph: (248) 855-5620 |
Juan Huang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 313-618-9128 | |
Lindsey Rae Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 313-618-9128 | |
Aimee Susan Kantzler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28595 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334 Phone: 248-553-0010 Fax: 248-553-5957 | |
Tamika Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32605 W 12 Mile Rd Ste 195, Farmington Hills, MI 48334 Phone: 313-306-2023 Fax: 888-442-6976 | |
Jasjit Kaur Pataria, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31500 W 13 Mile Rd Ste 100, Farmington Hills, MI 48334 Phone: 248-509-4070 Fax: 248-509-4080 | |
Mrs. Reba Elsa Issac, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21141 Middlebelt Rd, Farmington Hills, MI 48336 Phone: 248-477-7022 Fax: 248-477-9370 | |
Mrs. Soni Anil, RN,MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37353 Chesapeake Rd, Farmington Hills, MI 48335 Phone: 248-702-8354 |