Matthew Chase Lustig
Pediatric Neurodevelopmental Disabilities | Male
Matthew Chase Lustig is a Columbia, South Carolina based Pediatric doctor with medical specialization in
Pediatric Neurodevelopmental Disabilities.
Current practice location of Matthew Chase Lustig is
9 Richland Medical Park Dr Ste 110, Columbia, South Carolina - 29203-6859. He can be contacted on phone at
803-434-7951 and fax number 803-758-0134.
Matthew Chase Lustig is a sole proprietor of his business.
NPI number (Unique professional ID) for Matthew Chase Lustig is
1679006746 which was assigned by NPPES on 06 Apr, 2017 and it was last updated on 07 Jun, 2022.
Matthew Chase Lustig license number is
87712 for Pediatrics Neurodevelopmental Disabilities (2080P0008X) in South Carolina.
Matthew Chase Lustig treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
Matthew Chase Lustig basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neurodevelopmental Disabilities |
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| Provider Name : | Matthew Chase Lustig |
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| Gender : | Male |
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Business Address:
Matthew Chase Lustig address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9 Richland Medical Park Dr Ste 110
Columbia, SC, 29203-6859
United States |
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| Phone Number : | 803-434-7951 |
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| Fax Number : | 803-758-0134 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679006746 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Apr, 2017 |
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| Last Updated On : | 07 Jun, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Chase Lustig are as mentioned. Primary taxonomy code for Matthew Chase Lustig is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | 87712 | SC |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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625 19TH ST S,
BIRMINGHAM, AL, 35233-1900
United States | BIRMINGHAM, AL | 205-996-7859 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
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Business Location:
Patients can refer following map for directions to
Matthew Chase Lustig practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.