Individual
LUCILLE B. ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
913 SAN RAMON VALLEY BLVD, SUITE 182, DANVILLE, CA 94526
(925) 263-2499
Mailing address
913 SAN RAMON VALLEY BLVD, SUITE 182, DANVILLE, CA 94526
(925) 263-2499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C54414
CA
207X00000X
Orthopaedic Surgery Physician
MD0426365
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013707600001
—
PA
Enumeration date
04/14/2006
Last updated
10/21/2022
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