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Individual

LISA GOOZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
AG53946
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G539460
CA
Enumeration date
11/16/2006
Last updated
02/13/2014
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