Lusk, David P

Lusk, David P is an individual health care provider with primary practice located at 900 N Heritage Dr Bldg A, Ridgecrest CA 93555-5536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lusk, David P can be contacted via phone (760) 446-4571.

Contact Information

Primary practice address
900 N Heritage Dr Bldg A Ridgecrest CA 93555-5536
Phone: (760) 446-4571
Fax: (760) 446-0970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G57066 California

Profile Details

NPI number 1831193408
LBN Legal business name Lusk, David P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831193408 NPPES
Other 00G570660 BLUE SHIELD
Other 010032908 BLUE SHIELD
Other 93555B033 BLUE SHIELD
Other 00G570660 BLUE SHIELD
MEDICAID 00G570660 BLUE SHIELD
Other 00G570660 BLUE SHIELD
Other CA0103 BLUE SHIELD
Other 0616650001 BLUE SHIELD
Other 688278 BLUE SHIELD

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