Individual
JUDITH ALDRIDGE LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
995 POTRERO AVENUE, BLDG 80 WARD 84, SAN FRANCISCO, CA 94110-3518
(415) 476-4082
(415) 476-6953
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 476-4082
(415) 476-6953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G46194
CA
207RH0000X
Hematology (Internal Medicine) Physician
G46194
CA
207RX0202X
Medical Oncology Physician
Primary
G46194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G461940
—
CA
01
—
110146174
RAILROAD MEDICARE
CA
Enumeration date
08/19/2006
Last updated
03/26/2012
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