Provider Demographics
NPI:1851922900
Name:WEBSTER, ANNA LANKESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:LANKESTER
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 NEWPORT WAY
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-4411
Mailing Address - Country:US
Mailing Address - Phone:415-847-4098
Mailing Address - Fax:
Practice Address - Street 1:1600 LOS GAMOS DR STE 220
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-1842
Practice Address - Country:US
Practice Address - Phone:415-473-3643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG18345207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine