SearchCalifornia363LF0000X

Lucille Whitaker, 11434

NPI 1467731430 · on the registry since 2011 · sole proprietor

Practice

Address
575 Price St
Suite 313
Pismo Beach, CA 93449
Phone
(805) 201-9135
Fax
(805) 201-9134
Organisation at this address
Pismo Family Practice Medical Corporation A Ca Prof Medical Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California