Gregory Avetisov, DO

NPI #1679917280 in Lincoln, California

Provider Information

NPI Number: 1679917280
Entity Type: Individual
Name: Gregory Avetisov, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: DO
Enumeration Date: Apr 25, 2013
Last Updated: Jan 28, 2026

Practice Location

Address: 2641 MILLER RUN LN
City: Lincoln
State: California
ZIP Code: 95648-7545
Phone: (209) 754-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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