Individual
DR. DAVID LAWRENCE SISEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1820 J ST, SACRAMENTO, CA 95811-3010
(916) 313-8400
(916) 444-5260
Mailing address
1820 J ST, SACRAMENTO, CA 95811-3010
(916) 313-8400
(916) 444-5620
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A9327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BK021Z
MEDICARE PTAN
CA
Enumeration date
02/15/2006
Last updated
07/09/2014
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