Lanesha Dominique, is a
Student In An Organized Health Care Education/training Program based in Sacramento, California. Lanesha Dominique is licensed to practice in * (Not Available) (license number ) and her current practice location is
600 Bercut Dr, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 440-1500.
NPI number for Lanesha Dominique is 1114766946 and her current mailing address is 3780 Rosin Ct Ste 110, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114766946.
Healthcare Provider's Profile
| Full Name | Lanesha Dominique |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 600 Bercut Dr, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114766946
- Provider Enumeration Date: 05/21/2024
- Last Update Date: 10/10/2024
Medical Identifiers
Medical identifiers for Lanesha Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114766946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lanesha Dominique is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lanesha Dominique,
3780 Rosin Ct Ste 110,
Sacramento, CA 95834-1698
Ph: (916) 440-1500 | Lanesha Dominique,
600 Bercut Dr,
Sacramento, CA 95811-0131
Ph: (916) 440-1500 |
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