Lyle Richard Justesen M.D.

NPI 1093826125 - Family Medicine - 207Q00000X

NPI Details
NPI 1093826125
Gender Male
Enumeration Date 08/31/2006
Last Updated 06/15/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
SACRAMENTO CA, 95816-5238, US
Phone (916) 731-7775
Fax (916) 731-7785
Business Location
PO BOX 255228
SACRAMENTO CA, 95865-5228, US
Phone (800) 470-0071
Taxonomy Code 207Q00000X
License State California
License Number G74319
Remove 1093826125 NPI Number

According to our database, Dr. Lyle Richard Justesen M.D. NPI is 1093826125, taxonomy code is 207Q00000X and license number is G74319, license state is located at California. Lyle Richard Justesen M.D. physically located at 1201 Alhambra Blvd, Sacramento CA, 95816-5238. NPI Number Lyle Richard Justesen M.D. has the Individual type.

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1093826125 NPI number is provided on an as is basis without warranty of any kind. 1093826125 is maintained by the National Plan & Provider Enumeration System. The contents of Lyle Richard Justesen M.D. are for informational purposes only.