Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CALEB MATTHEW LUSK, MD
ActiveCALEB MATTHEW LUSK, MD is a Addiction Medicine (Family Practice) healthcare provider located in SAN PEDRO, California. NPI 1386149912 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · SAN PEDRO, CA
Registration Details
- NPI Number
- 1386149912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2018 (8.3585235060651 yrs)
- Last Updated
- Mar 28, 2023
- Licenses
-
69006 (CT)A165385 (CA)
Practice Information
- Address
-
593 W 6TH STSAN PEDRO, CA, 907312521Browse CA providers · Browse ZIP 90731
- Phone
- 3105470202
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.