Healthcare Provider Details

I. General information

NPI: 1194948984
Provider Name (Legal Business Name): CHRISTINA LUCAS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 SACRAMENTO ST SUITE 216
SAN FRANCISCO CA
94118-1625
US

IV. Provider business mailing address

3801 SACRAMENTO ST SUITE 216
SAN FRANCISCO CA
94118
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-2404
  • Fax: 415-600-6304
Mailing address:
  • Phone: 415-600-2404
  • Fax: 415-600-6304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR321116
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: