Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | A167878 | CA |
N | 207R00000X | Internist | 125068796 | IL |
N | 111NI0900X | Internist | 125068796 | IL |
NPI | 1124476296 |
---|---|
Provider Name | Dr. Katherine Given Ligtenberg |
First Address | San Francisco, CA 94115-3011 |
Second Address | San Francisco, CA 94115-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2016 |
Last Update Date | 24/06/2020 |