Individual
LUKE R WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806
(562) 997-2232
(562) 997-2238
Mailing address
5856 CORPORATE AVE, SUITE 200, CYPRESS, CA 90630
(714) 236-4000
(714) 236-4006
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G60383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G603830
—
CA
Enumeration date
11/20/2006
Last updated
07/08/2007
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