Olena Kotova Lineberry M.D.

NPI 1093987364 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1093987364
Gender Female
Enumeration Date 03/27/2008
Last Updated 03/19/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
3000 Q ST
SACRAMENTO CA, 95816-7058, US
Phone (916) 733-3304
Fax (916) 733-5383
Business Location
3400 DATA DRIVE
PHYSICIAN SUPPORT SERVICES
RANCHO CORDOVA CA, 95670-7956, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Nebraska
License Number 6424
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According to our database, Dr. Olena Kotova Lineberry M.D. NPI is 1093987364, taxonomy code is 390200000X and license number is 6424, license state is located at Nebraska. Olena Kotova Lineberry M.D. physically located at 3000 Q St, Sacramento CA, 95816-7058. NPI Number Olena Kotova Lineberry M.D. has the Individual type.

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1093987364 NPI number is provided on an as is basis without warranty of any kind. 1093987364 is maintained by the National Plan & Provider Enumeration System. The contents of Olena Kotova Lineberry M.D. are for informational purposes only.