Individual
ADRIENNE LIGHTBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 476-5001
Mailing address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 476-5001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A177293
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/12/2015
Last updated
08/05/2022
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