Individual
DR. ENRICO CUSI LALLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12067
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015425
—
VT
05
—
30204072
—
NH
Enumeration date
06/17/2005
Last updated
12/14/2021
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