Individual
LENNART MUCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 POTRERO AVE, SAN FRANCISCO, CA 94110-3518
(415) 206-8492
Mailing address
1650 OWENS ST, SAN FRANCISCO, CA 94158-2261
(415) 734-2504
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A45116
CA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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