Individual
BRIANNA LYNDELL LIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4150 V ST, #1200, SACRAMENTO, CA 95817-1460
(916) 734-5028
Mailing address
3315 WATT AVE, SACRAMENTO, CA 95821-3600
(916) 481-6800
(916) 481-1881
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A159573
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/29/2017
Last updated
10/19/2021
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