Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | A156235 | CA |
NPI | 1144616590 |
---|---|
Provider Name | Dr. Lindsey Merrihew Haddock |
First Address | San Francisco, CA 94121-1563 |
Second Address | San Francisco, CA 94121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2015 |
Last Update Date | 02/07/2019 |