Individual
LINDA COSENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLS
Contact information
Practice address
4892 SCREECH OWL CREEK RD, EL DORADO HILLS, CA 95762-8073
(800) 600-3554
(701) 222-4142
Mailing address
177 BOVET RD FL 6, ATTN: CD BILLING, SAN MATEO, CA 94402-3116
(701) 255-9279
(701) 222-4142
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CL10911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB698660
—
CA
Enumeration date
03/12/2007
Last updated
09/07/2011
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