Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G33942 | CA |
NPI | 1003918764 |
---|---|
Provider Name | Lindalee G Huston |
First Address | Sacramento, CA 95865-5228 |
Second Address | Sacramento, CA 95819-3226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G339420 | (05) | CA |
A45732 | (02) |