Lena Claire Van Der List
Pediatrician
2516 Stockton Blvd
Sacramento
, California 95817-2208
Lena Claire Van Der List
Pediatrician
2516 Stockton Blvd
Sacramento
, California 95817-2208
(916) 734-2428
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Lena Claire Van Der List
- 2516 Stockton Blvd
- Sacramento, CA
- Zip : 95817-2208
- Phone : (916) 734-2428
Second Address
- Lena Claire Van Der List
- 2516 Stockton Blvd
- Sacramento, CA
- Zip : 95817-2208
- Phone : (916) 734-2428
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 20A17025 | CA |
National Provider Identifier
| NPI | 1003265596 |
|---|---|
| Provider Name | Lena Claire Van Der List |
| First Address | Sacramento, CA 95817-2208 |
| Second Address | Sacramento, CA 95817-2208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2016 |
| Last Update Date | 19/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.