Individual
LENNY HUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3901 LONE TREE WAY, ANTIOCH, CA 94509-6200
(925) 779-7200
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(925) 779-7200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A96932
CA
208M00000X
Hospitalist Physician
Primary
A96932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A969320
—
CA
Enumeration date
04/16/2007
Last updated
02/17/2021
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