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Individual

LENA AVEDISSIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1004 FOWLER WAY, SUITE 4, PLACERVILLE, CA 95667-5746
(530) 626-9488
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-2787

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C140632
CA

Other

Enumeration date
05/04/2006
Last updated
03/28/2017
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