Individual provider · Type 1 NPI

Michael Jay Lustick, MD

Child & Adolescent Psychiatry Physician · Derby, CT

NPI number 1699943589 Active

About NPI 1699943589

Michael Jay Lustick, MD's National Provider Identifier is 1699943589, issued on Feb 14, 2008. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Derby, CT. The record was last updated on Dec 18, 2014.