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Evan James Luxenberg, MD
Neurology Physician in San Rafael, California
NPI 1457857609

Evan James Luxenberg is a Neurology Physician based in San Rafael, CA and is specialized in Neurology. Evan James Luxenberg practices in San Rafael, CA and has the professional credentials of MD. The NPI Number for Evan James Luxenberg is 1457857609 and holds a License No. MD61278845 (California).

The current practice location address for Evan James Luxenberg is 99 Montecillo Rd, San Rafael, CA and can be reached out via phone at 415-444-2905.

Location: 99 Montecillo Rd, San Rafael, CA, 94903-3308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457857609
Provider Name
Evan James Luxenberg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
99 Montecillo Rd, San Rafael, CA, 94903-3308
Phone Number
415-444-2905
Fax Number
Provider Enumeration Date
04/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457857609 05 WA
institution
Provider Business Practice Location Address Details
Address
99 Montecillo Rd
City
San Rafael
State
California
Zip
94903-3308
Phone Number
415-444-2905
Fax Number
person
Provider Business Mailing Address Details
Address
99 Montecillo Rd
City
San Rafael
State
California
Zip
94903-3308
Phone Number
415-444-2905
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
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Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD61278845 (Washington)
Definition
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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