Individual
MS. LYNDA LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1616 DA VINCI CT, DAVIS, CA 95616-4860
(530) 752-1281
Mailing address
2916 25TH ST, SACRAMENTO, CA 95818-3510
(916) 455-7083
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 10514
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488A
—
CA
Enumeration date
06/30/2006
Last updated
07/09/2007
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