Andersen, Lucille B.

Andersen, Lucille B. is an sole proprietor health care provider with primary practice located at 913 San Ramon Valley Blvd Suite 182, Danville CA 94526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Andersen, Lucille B. can be contacted via phone (925) 263-2499.

Contact Information

Primary practice address
913 San Ramon Valley Blvd Suite 182 Danville CA 94526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD0426365 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C54414 California

Profile Details

NPI number 1124082359
LBN Legal business name Andersen, Lucille B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Oct 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124082359 NPPES
Pennsylvania MEDICAID 1013707600001

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