Individual
DR. LANA GAFTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 N SUNRISE AVE, SUITE 1205, ROSEVILLE, CA 95661-2924
(916) 789-1505
(916) 789-1513
Mailing address
151 N SUNRISE AVE, SUITE 1205, ROSEVILLE, CA 95661-2924
(916) 789-1505
(916) 789-1513
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A92610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100970
—
CA
01
—
ZZZ02094Z
MEDICARE PTAN
—
Enumeration date
12/19/2005
Last updated
12/15/2014
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