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Organization
LASSEN MEDICAL CENTER
Active
Organization
LASSEN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA JOYNER (OFFICE TECH)
(530) 257-7773
Entity
Organization
Contact information
Practice address
103 FAIR DR, SUSANVILLE, CA 96130-4201
(530) 257-7773
(530) 257-2939
Mailing address
PO BOX 1150, SUSANVILLE, CA 96130-1150
(530) 257-7773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
A35162
CA
208D00000X
General Practice Physician
A35254
CA
Other
Enumeration date
03/09/2007
Last updated
02/25/2008
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