Provider Demographics
NPI:1598210510
Name:WOO, RENEE LUCY (DPM)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:LUCY
Last Name:WOO
Suffix:
Gender:F
Credentials:DPM
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13690 E 14TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-2584
Mailing Address - Country:US
Mailing Address - Phone:510-614-5633
Mailing Address - Fax:510-614-2286
Practice Address - Street 1:13690 E 14TH ST STE 220
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-2584
Practice Address - Country:US
Practice Address - Phone:510-614-5633
Practice Address - Fax:510-614-2286
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5550213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery