Individual
DR. DAVID M.H. LUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 OCEAN AVE, RAYMOND, WA 98577-3016
(360) 942-3040
(360) 942-3955
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000626
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7086519
—
WA
05
—
7840408
—
WA
01
—
G8889107
MEDICARE
WA
Enumeration date
10/24/2006
Last updated
02/06/2015
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