Provider Demographics
NPI:1821162041
Name:SIEGFRIED, WILLIAM LOWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LOWELL
Last Name:SIEGFRIED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5151 N PALM AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93704-2211
Mailing Address - Country:US
Mailing Address - Phone:559-499-1233
Mailing Address - Fax:559-499-1232
Practice Address - Street 1:5151 N PALM AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2211
Practice Address - Country:US
Practice Address - Phone:559-499-1233
Practice Address - Fax:559-499-1232
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG401342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG40134OtherCA STATE LICENCE