Individual
DR. DAVID P LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 N HERITAGE DR, BLDG A, RIDGECREST, CA 93555-5536
(760) 446-4571
(760) 446-0970
Mailing address
900 N HERITAGE DR, BLDG A, RIDGECREST, CA 93555-5536
(760) 446-4571
(760) 446-0970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G57066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G570660
BLUE SHIELD
—
05
—
00G570660
—
CA
01
—
010032908
RAILROAD MEDICARE
—
01
—
0616650001
DME
—
01
—
688278
AHI HEALTH LINK
—
01
—
93555B033
TRIWEST/TRICARE
—
01
—
CA0103
JOHN DEERE
—
Enumeration date
06/10/2005
Last updated
03/07/2023
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