Organization
GREENBRAE DERMATOLOGY, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCRETIA ANN LEWITT (PRACTICE MANAGER)
(415) 925-0550
Entity
Organization
Contact information
Practice address
1300 S ELISEO DR STE 207, GREENBRAE, CA 94904-2015
(415) 925-0550
(415) 925-9062
Mailing address
1300 S ELISEO DR STE 207, GREENBRAE, CA 94904-2015
(415) 925-0550
(415) 925-9062
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A97783
CA
207N00000X
Dermatology Physician
G40606
CA
207N00000X
Dermatology Physician
Primary
G53455
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A97783
CA
207ND0900X
Dermatopathology Physician
A97783
CA
207ND0900X
Dermatopathology Physician
G53455
CA
207NP0225X
Pediatric Dermatology Physician
A97783
CA
207NP0225X
Pediatric Dermatology Physician
G40606
CA
207NP0225X
Pediatric Dermatology Physician
G53455
CA
207NS0135X
Procedural Dermatology Physician
A97783
CA
207NS0135X
Procedural Dermatology Physician
G40606
CA
207NS0135X
Procedural Dermatology Physician
G53455
CA
Other
Enumeration date
03/15/2012
Last updated
06/30/2015
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