Watson, Luke R

Watson, Luke R is an individual health care provider with primary practice located at 2776 Pacific Ave , Long Beach CA 90806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Watson, Luke R can be contacted via phone (562) 997-2232.

Contact Information

Primary practice address
2776 Pacific Ave Long Beach CA 90806
Fax: (562) 997-2238
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G60383 California

Profile Details

NPI number 1881768653
LBN Legal business name Watson, Luke R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1881768653 NPPES
California MEDICAID 00G603830

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