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DR. MARY LUCILLE BOEGEL M.D. NPI 1437277282


NPI Information

NPI: 1437277282
Provider Name: DR. MARY LUCILLE BOEGEL, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
1455 MONTEGO
#104
WALNUT CREEK, CA
ZIP 94598
Phone: (925) 946-1711
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DR. Mary Lucille Boegel, M.D. is an adult medicine family medicine in Walnut Creek, CA. The provider is definition to come. DR. Mary Lucille Boegel, M.D. NPI is 1437277282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1455 MONTEGO
#104
WALNUT CREEK, CA
ZIP 94598-990
Phone: (925) 946-1711
Fax: (925) 946-1902

The enumeration date for this NPI number is 3/27/2007 and was last updated on 6/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineG61295CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FM508ZMEDICARE PINCALIFORNIA
200G612950MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.