MEDICARE: DR. LUCAS STANGE ZIER MD, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	A115285	CA
2	207RC0000X	Cardiovascular Disease Physician	A115285	CA

General Provider Information

NPI Number	:	1952636540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUCAS STANGE ZIER MD, MS

Provider Business Mailing Address
First Line	:	910 PRESIDIO AVE
Second Line	:	APT 3
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3379
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 PARNASSUS AVE
Second Line	:	UNIVERSITY OF CALIFORNIA AT SAN FRANCISCO
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2204
Country	:	US
Telephone Number	:	415-476-1528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	10/05/2021

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