Danny Leroy Lickness in Santa Maria - Obstetrics & Gynecology

Danny Leroy Lickness - NPI 1275553653

Danny Leroy Lickness is a Obstetrics & Gynecology in Santa Maria, California. Danny Leroy Lickness practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Danny Leroy Lickness is 1275553653. The last update date is 2015-10-23.

Danny Leroy Lickness's current location address is 117 West Bunny Avenue, Santa Maria, California. You can contact this provider via phone number 8057864111 and fax number 8055436357. The mailing address for Danny Leroy Lickness is 117 West Bunny Avenue, Santa Maria, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Danny Leroy Lickness
Address 117 West Bunny Avenue, Santa Maria, California
Phone Number 8057864111
Fax Number 8055436357
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1275553653
Provider Enumeration Date 2006-07-20
Last Updated Date 2015-10-23

Provider Mailing Address Detail

Address 117 West Bunny Avenue
City Santa Maria
State California (CA)
Post Code 934582805
Phone Number 8057864111
Fax Number 8055436357

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No G44986
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G449860 CA --
CB221890 CA MEDICARE ID
GR0092202 CA --

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FAQs about Danny Leroy Lickness

What is the unique 10-digit identification code issued to Danny Leroy Lickness by the Centers for Medicare & Medicaid Services?

The Danny Leroy Lickness has been assigned the NPI (National Provider Identifier) 1275553653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Danny Leroy Lickness's facilities are situated?

The facilities of Danny Leroy Lickness are physically located at the following address: 117 West Bunny Avenue, Santa Maria, CA, 934582805.

What is Danny Leroy Lickness's specialized field of practice, and what is the corresponding taxonomy classification code?

The Danny Leroy Lickness's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 207V00000X.

On what date did the Danny Leroy Lickness receive the assignment of its 1275553653 from the Centers for Medicare & Medicaid Services?

The Danny Leroy Lickness was issued its 1275553653 by the Centers for Medicare & Medicaid Services on 2006-07-20.

When was the Danny Leroy Lickness's information last updated?

The Danny Leroy Lickness's information was last updated on 2015-10-23.

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