Individual
LISA S. SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5821 JAMESON CT, CARMICHAEL, CA 95608-0820
(916) 486-0411
(916) 486-0525
Mailing address
5821 JAMESON CT, CARMICHAEL, CA 95608-0820
(916) 486-0411
(916) 486-0525
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G81173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY49032Y
—
CA
Enumeration date
04/19/2006
Last updated
12/15/2021
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