NPI 1164648424

Vincent Lustig, PHDCCCA

Practitioner Audiologist Charleston, WV

Practice location

Address: 2205 Washington St E, Charleston, WV 25311-2218
Phone: (304) 345-8522
Fax: (304) 344-5305
Mailing address: 5006 Renard St, Sissonville, WV 25320-9623

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence A0063 (WV)

Other Audiologist providers in West Virginia →

Registry record

NPI: 1164648424
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.