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Caleb Matthew Lusk, MD
Addiction Medicine (Family Medicine) Physician in San Pedro, California
NPI 1386149912

Caleb Matthew Lusk is an Addiction Medicine (Family Medicine) Physician based in San Pedro, CA and is specialized in Addiction Medicine. Caleb Matthew Lusk practices in San Pedro, CA and has the professional credentials of MD. The NPI Number for Caleb Matthew Lusk is 1386149912 and holds a License No. 69006 (California).

The current practice location address for Caleb Matthew Lusk is 593 W 6Th St, San Pedro, CA and can be reached out via phone at 310-547-0202.

Location: 593 W 6Th St, San Pedro, CA, 90731-2521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386149912
Provider Name
Caleb Matthew Lusk
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
593 W 6Th St, San Pedro, CA, 90731-2521
Phone Number
310-547-0202
Fax Number
Provider Enumeration Date
03/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008056033 05 CT
008056168 05 CT
004217099 05 CT
008068298 05 CT
008039745 05 CT
008103790 05 CT
institution
Provider Business Practice Location Address Details
Address
593 W 6Th St
City
San Pedro
State
California
Zip
90731-2521
Phone Number
310-547-0202
Fax Number
person
Provider Business Mailing Address Details
Address
593 W 6Th St
City
San Pedro
State
California
Zip
90731-2521
Phone Number
310-547-0202
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A165385 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
69006 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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