Most Relevant Information
Provider Data
| NPI Number: | 1003050667 |
| Provider Name: | LISA MARIE SPROWL M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2009 |
| Last Updated: | 09/28/2012 |
Provider Practice Location
4400 DUCKHORN DRIVE
SUITE 100
SACRAMENTO
CA
95834
Practice Location Phone/Fax
| Phone: | 9165758000 |
| Fax: | 9165758099 |
Provider Mailing Location
3400 DATA DRIVE
PHYSICIAN SUPPORT SERVICES
RANCHO CORDOVA
CA
956707956
Provider Mailing Phone/Fax
| Phone: | 9163792948 |
| Fax: | 9168587065 |