Provider Demographics
NPI:1417310962
Name:TEMPLE, LUISA F M (MD)
Entity Type:Individual
Prefix:
First Name:LUISA
Middle Name:F M
Last Name:TEMPLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4501 SAND CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8687
Mailing Address - Country:US
Mailing Address - Phone:202-865-1161
Mailing Address - Fax:202-865-4174
Practice Address - Street 1:HOWARD UNIVERSITY HOSPITAL
Practice Address - Street 2:2041 GEORGIA AVE NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0001
Practice Address - Country:US
Practice Address - Phone:202-865-1161
Practice Address - Fax:202-865-4174
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA168868207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics