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LUCILLE B. ANDERSEN M.D.

>> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1124082359

Individual Registrant:
 LUCILLE B. ANDERSEN M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
5924 STONERIDGE DR SUITE 103 PLEASANTON, CA 94588-2887 US
Tel: 925-263-2499  Fax: --

Contact information for business:
5924 STONERIDGE DR SUITE 103 PLEASANTON, CA 94588-2887 US
Tel: 925-263-2499  Fax: --

Registration Information:
NPI: 1124082359
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
PAMD0426365
Y207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
CAC54414

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1013707600001PA05




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