Individual
DR. LYNNE ANN HACKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 MEDICAL PLAZA DR STE 300, ROSEVILLE, CA 95661-3107
(916) 878-4948
(916) 878-4952
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A82209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A822090
MEDICAL / DHS
CA
Enumeration date
06/28/2006
Last updated
12/12/2018
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