Provider Demographics
NPI:1407953391
Name:LONERGAN, SEAMUS DAVID (MD)
Entity Type:Individual
Prefix:
First Name:SEAMUS
Middle Name:DAVID
Last Name:LONERGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3360 OCTAVIA ST
Mailing Address - Street 2:APT 6
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2224
Mailing Address - Country:US
Mailing Address - Phone:415-775-9619
Mailing Address - Fax:
Practice Address - Street 1:3360 OCTAVIA ST APT 6
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-2224
Practice Address - Country:US
Practice Address - Phone:415-775-9619
Practice Address - Fax:415-775-9619
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90573207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine