Individual
ERIN NOELLE LUCKIESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3700 24TH ST, SAN FRANCISCO, CA 94114-3904
(415) 747-1981
Mailing address
3 SEMINOLE AVE, CORTE MADERA, CA 94925-1012
(415) 747-1981
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95009521
CA
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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