Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G46194 | CA |
N | 111NI0900X | Internist | G46194 | CA |
N | 207RH0000X | Hematologist | G46194 | CA |
Y | 207RX0202X | Medical Oncology | G46194 | CA |
NPI | 1073628400 |
---|---|
Provider Name | Judith Aldridge Luce |
First Address | San Francisco, CA 94120-7464 |
Second Address | San Francisco, CA 94110-3518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 26/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G461940 | (05) | CA |
110146174 | RAILROAD MEDICARE (01) | CA |
A89828 | (02) |