Individual
LUCY SHIJIA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-1000
Mailing address
6301 SHELLMOUND ST APT 432, EMERYVILLE, CA 94608-1480
(913) 306-7961
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20A22602
CA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/12/2018
Last updated
09/14/2024
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