CALEB MATTHEW LUSK MD NPI 1386149912

NPI Information

Caleb Matthew Lusk, MD is an addiction medicine family medicine in San Pedro, CA with 6 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Caleb Matthew Lusk, MD NPI is 1386149912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

593 W 6TH ST
SAN PEDRO, CA
ZIP 90731-521
Phone: (310) 547-0202

The NPI 1386149912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2018 and was last updated on 3/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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