Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TINA MARIE LUSK, RN
Active Sole ProprietorNeonatal Intensive Care Nurse · GRAND TERRACE, CA
Registration Details
- NPI Number
- 1417216417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2012 (13.948878172884 yrs)
- Last Updated
- May 10, 2012
- License
-
540788 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22667 PICO STGRAND TERRACE, CA, 923135723Browse CA providers · Browse ZIP 92313
- Phone
- 9095141013
- Primary Specialty
-
Neonatal Intensive Care Nurse
163WN0002X
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.