Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LINA PEREIRA MEDEIROS
Active Sole ProprietorLINA PEREIRA MEDEIROS is a Sports Medicine (PM&R) healthcare provider located in LAKE ELSINORE, California. NPI 1912405192 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · LAKE ELSINORE, CA
Registration Details
- NPI Number
- 1912405192
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2018 (8.3721713144625 yrs)
- Last Updated
- Jan 28, 2021
- License
-
200032726 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29316 LAKE MIST DRLAKE ELSINORE, CA, 925307274Browse CA providers · Browse ZIP 92530
- Phone
- 9513480060
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.