Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | A69020 | CA |
NPI | 1326139866 |
---|---|
Provider Name | Lisa P Abramson |
First Address | Sacramento, CA 95865-5228 |
Second Address | Sacramento, CA 95819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 12/01/2012 |