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LADA ALEXEENKO MD
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1982870457
Individual Registrant: LADA ALEXEENKO MD
Gender: F
Sole Proprietor
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: --
Tel: 650-616-6222 Fax: --
Contact information for business:
PO BOX 190822 SAN FRANCISCO, CA 94119-0822 US
Tel: 469-223-3550 Fax: --
Tel: 469-223-3550 Fax: --
Registration Information:
NPI: 1982870457
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | NY | 263740 |
| N | 2084P0802X | Allopathic & Osteopathic Physicians Psychiatry & Neurology | CA | A140937 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
