Organization
LUCERNE COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM GARDNER M.D. (MEDICAL DIRECTOR)
(707) 274-9299
Entity
Organization
Contact information
Practice address
6300 E. HWY 20, LUCERNE, CA 95458
(707) 274-9299
(707) 274-9297
Mailing address
PO BOX 1978, LUCERNE, CA 95458-1978
(707) 274-9299
(707) 274-9297
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53967F
—
CA
Enumeration date
12/28/2006
Last updated
06/17/2008
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