Lena Claire Van Der List, D.O.

NPI #1003265596 in Sacramento, California

Provider Information

NPI Number: 1003265596
Entity Type: Individual
Name: Lena Claire Van Der List, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Jun 6, 2016
Last Updated: Jun 19, 2020

Practice Location

Address: 2516 STOCKTON BLVD
City: Sacramento
State: California
ZIP Code: 95817-2208
Phone: (916) 734-2428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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