Individual
DR. DAVID T LUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130-3318
(858) 764-3000
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 764-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G175810
CA
207R00000X
Internal Medicine Physician
MD022085E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010409250001
—
PA
Enumeration date
06/27/2006
Last updated
05/06/2022
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