Individual provider · Type 1 NPI

Lucas V. Boe

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1053509828 Active

Practice location

433 Hegenberger Rd Ste 100
Oakland, CA 94621-1448

Call (510) 430-2500 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053509828

Lucas V. Boe's National Provider Identifier is 1053509828, issued on Oct 5, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Oct 5, 2007.