LENA CLAIRE VAN DER LIST — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, CA)
LENA CLAIRE VAN DER LIST — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: LENA CLAIRE VAN DER LIST; Type: Individual; NPI: 1003265596.
| Name | LENA CLAIRE VAN DER LIST |
|---|---|
| Type | Individual |
| NPI | 1003265596 |
| Provider type | PRACTITIONER - PEDIATRIC MEDICINE |
| State | CA |
| Enrollment ID | I20200701002427 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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