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Individual
LINA PEREIRA MEDEIROS
Active
Individual
LINA PEREIRA MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
200032726
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912405192
NPI
CA
Enumeration date
01/23/2018
Last updated
01/28/2021
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