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LADA ALEXEENKO MD

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1982870457

Individual Registrant:
 LADA  ALEXEENKO MD
Gender: F
Sole Proprietor

Location and contact information for practice:
1001 SNEATH LANE OFFICE 204 SAN BRUNO, CA 94066 US
Tel: 650-616-6222  Fax: --

Contact information for business:
PO BOX 190822  SAN FRANCISCO, CA 94119-0822 US
Tel: 469-223-3550  Fax: --

Registration Information:
NPI: 1982870457
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
NY263740
N2084P0802XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
CAA140937

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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