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NPI Code Detail

MEDICARE: DR. STEPHANIE LUSTER D.O

MEDICARE:  DR. STEPHANIE  LUSTER  D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianOS17821FL

General Provider Information

NPI Number : 1326497660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE LUSTER D.O
Provider Business Mailing Address
First Line : 8700 W FLAGLER ST STE 250
Second Line :
City : MIAMI
State : FL
Zip : 33174-2518
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8700 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33174-2401
Country : US
Telephone Number : 305-501-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2016
Last Update Date : 10/03/2025

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Directions to “ DR. STEPHANIE LUSTER D.O” Practice Location

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