Individual
LYDIA MARIA WYTRZES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
87 SCRIPPS DR, SUITE 318, SACRAMENTO, CA 95825-6372
(916) 564-3610
(916) 564-3630
Mailing address
87 SCRIPPS DR, SUITE 318, SACRAMENTO, CA 95825-6372
(916) 564-3610
(916) 564-3630
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
G60213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3562123
—
CA
Enumeration date
11/09/2006
Last updated
05/19/2008
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