Individual
MS. LOUISA LINSLEY MUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7100 REDWOOD BLVD STE 200, NOVATO, CA 94945-4110
(415) 927-5300
Mailing address
18 BON AIR RD, LARKSPUR, CA 94939-1123
(415) 927-5300
(415) 927-6860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA17524
CA
363AS0400X
Surgical Physician Assistant
Primary
17524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA17524
LICENSE
CA
Enumeration date
08/30/2006
Last updated
03/07/2023
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