Individual
DR. LUCILLE RIDGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28729 ATFORD DR, RANCHO PALOS VERDES, CA 90275-6515
(310) 218-8816
Mailing address
28729 ATFORD DR, RANCHO PALOS VERDES, CA 90275-6515
(310) 218-8816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G45977
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
G45977
CA
Other
Enumeration date
07/15/2006
Last updated
04/18/2017
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