Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | C26446 | CA |
NPI | 1588867535 |
---|---|
Provider Name | Lynn E. Spitler |
First Address | Tiburon, CA 94920 |
Second Address | San Francisco, CA 94117-1019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 15/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C264460 | (05) | CA |
A88855 | (02) | CA |