Justesen, Lyle Richard

Justesen, Lyle Richard is an individual health care provider with primary practice located at 1201 Alhambra Blvd Suite 210, Sacramento CA 95816-5238. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Justesen, Lyle Richard can be contacted via phone (916) 731-7775.

Contact Information

Primary practice address
1201 Alhambra Blvd Suite 210 Sacramento CA 95816-5238
Phone: (916) 731-7775
Fax: (916) 731-7785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G74319 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G73419 California

Profile Details

NPI number 1093826125
LBN Legal business name Justesen, Lyle Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 15th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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