Individual
LUCY MARIE SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36 N SAN MATEO DR STE C, SAN MATEO, CA 94401-4523
(650) 344-4142
(650) 344-0619
Mailing address
177 BOVET RD FL 6, ATTN: CD BILLING, LLC, SAN MATEO, CA 94402-3116
(701) 255-9279
(701) 222-4142
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C33449
CA
207NP0225X
Pediatric Dermatology Physician
C33449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C33449
STATE LICENSE
CA
Enumeration date
04/13/2006
Last updated
04/16/2024
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