Leanne M. Camisa, Md

NPI 1073658373 - Family Medicine - 207Q00000X

NPI Details
NPI 1073658373
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEANNE M LEANNE
Position OWNER
Phone (530) 295-4942
Fax (530) 295-9400
Practice Location
3105 CEDAR RAVINE RD
SUITE 103
PLACERVILLE CA, 95667-6561, US
Phone (530) 295-4942
Fax (530) 295-9400
Business Location
3105 CEDAR RAVINE RD
SUITE 103
PLACERVILLE CA, 95667-6561, US
Phone (530) 295-4942
Fax (530) 295-9400
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A060768
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According to our database, Leanne M. Camisa, Md NPI is 1073658373, taxonomy code is 207Q00000X and license number is A060768, license state is located at California. Leanne M. Camisa, Md physically located at 3105 Cedar Ravine Rd, Placerville CA, 95667-6561. NPI Number 1033115704 has the healthcare provider type.

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1073658373 NPI number is provided on an as is basis without warranty of any kind. 1073658373 is maintained by the National Plan & Provider Enumeration System. The contents of Leanne M. Camisa, Md are for informational purposes only.