Sundberg, Lisa S.

Sundberg, Lisa S. is an individual health care provider with primary practice located at 5821 Jameson Ct , Carmichael CA 95608-0820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sundberg, Lisa S. can be contacted via phone (916) 486-0411.

Contact Information

Primary practice address
5821 Jameson Ct Carmichael CA 95608-0820
Phone: (916) 486-0411
Fax: (916) 486-0525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G81173 California

Profile Details

NPI number 1558326751
LBN Legal business name Sundberg, Lisa S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558326751 NPPES
California MEDICAID YYY49032Y

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