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Lucky Whitburn-Thomas

NPI 1558156307 · on the registry since 2025 · sole proprietor

Practice

Address
1521 University Ave
Berkeley, CA 94703
Phone
(510) 644-6965
Organisation at this address
City Of Berkeley
City Of Berkeley
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-04

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