| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LISA MARCELLE CEDERBAUM | 1629264015 | 2023-05-07 |
Lisa Cederbaum NP [F] graduated in 2006 and primarily specializes in Nurse Practitioner.
Lisa Marcelle Cederbaum is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1629264015. Registration indicates Lisa Marcelle Cederbaum is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 8123038361 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Lisa Marcelle Cederbaum NP |
| Practice Office Address | 2725 CAPITOL AVE SACRAMENTO, CA US |
| Practice Office Telephone | 9162629454 |
| Mailing Address | PO BOX 255228 SACRAMENTO, CA 95865 US |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | NP23045
CA |