Individual
DR. LISA SANDUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5089 ARLINGTON WAY, EL DORADO HILLS, CA 95762-9548
(650) 452-5420
(650) 403-6873
Mailing address
5089 ARLINGTON WAY, EL DORADO HILLS, CA 95762-9548
(650) 346-5573
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A62384
CA
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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