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Individual

LIONEL JOHN GOTTSCHALK III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
719 2ND ST, DAVIS, CA 95616-4656
(530) 848-3721
Mailing address
54 COLLEGE PARK, DAVIS, CA 95616-3644
(530) 848-3721

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C35476
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C35476
CA

Other

Enumeration date
05/16/2007
Last updated
09/11/2025
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