MRS. TINA MARIE LUSK RN
NPI 1417216417
Registered Nurse - Neonatal Intensive Care in Grand Terrace, CA

Active since May 10, 2012
22667 PICO ST, GRAND TERRACE, CA 92313(909) 514-1013 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tina Marie Lusk Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TINA MARIE LUSK RN (NPI 1417216417) is an individual neonatal intensive care provider in Grand Terrace, California, licensed in California (540788) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1417216417
Entity TypeIndividualFemale
Primary Taxonomy163WN0002X
Provider Legal NameMRS. TINA MARIE LUSKCredential: RN
Location Address22667 PICO STGrand Terrace, CA 92313-5723
Mailing Address22667 Pico StGrand Terrace, CA 92313-5723 · (909) 514-1013
Sole ProprietorYes
Enumeration DateMay 10, 2012
NPI 1417216417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Neonatal Intensive CareNursing Service Providers
Taxonomy Code163WN0002X
License Licensed in CA · 540788
22667 PICO ST, Grand Terrace, CA 92313

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
22667 PICO ST
GRAND TERRACE, CA 92313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Lusk's NPI number?

The NPI number for Tina Lusk is 1417216417. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Tina Lusk located?

Tina Lusk practices at 22667 Pico St, Grand Terrace, CA 92313. The listed phone number is (909) 514-1013.

What is Tina Lusk's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Neonatal Intensive Care, with taxonomy code 163WN0002X.

When was this NPI record last updated?

The NPPES record for Tina Lusk was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.