Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | G48400 | CA |
NPI | 1023196110 |
---|---|
Provider Name | Lisbeth A. Suyehira |
First Address | Walnut Creek, CA 94596-6220 |
Second Address | Walnut Creek, CA 94596-6220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 19/08/2008 |