Lisa Law, Md | |
728 Pacific Ave Suite 302 San Francisco CA 94133-4457 | |
(415) 986-0606 | |
Not Available |
Full Name | Lisa Law, Md |
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Speciality | Clinic/Center |
Location | 728 Pacific Ave, San Francisco, California |
Authorized Official Name and Position | Lisa Law (SHAREHOLDER) |
Authorized Official Contact | 4159860606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lisa Law, Md 5320 Pacific Terrace Ct Castro Valley CA 94552-5539 Ph: (415) 986-0606 | Lisa Law, Md 728 Pacific Ave Suite 302 San Francisco CA 94133-4457 Ph: (415) 986-0606 |
NPI Number | 1881744423 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 11/04/2020 |
Medicare PECOS PAC ID | 6800994500 |
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Medicare Enrollment ID | O20070604000484 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881744423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Lisa S Law |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518030543 PECOS PAC ID: 4880792589 Enrollment ID: I20070604000601 |
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