Elizabeth Theriault Lion, MD | |
4240 Highland Ave, Highland, CA 92346 | |
(909) 864-4700 | |
(909) 864-4300 |
Full Name | Elizabeth Theriault Lion |
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Gender | Female |
Speciality | Pediatrics |
Location | 4240 Highland Ave, Highland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043578354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | DR.0054889 (Colorado) | Secondary |
208000000X | Pediatrics | 151952 (California) | Primary |
Entity Name | Dell Childrens Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
Mailing Address | Practice Location Address |
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Elizabeth Theriault Lion, MD 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Elizabeth Theriault Lion, MD 4240 Highland Ave, Highland, CA 92346 Ph: (909) 864-4700 |
Atalie M Lim, MD, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 4240 Highland Ave, Highland, CA 92346 Phone: 909-864-4700 Fax: 909-425-4195 | |
Soo Y Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 | |
Dr. Gerald R. Greene, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Dr. Arthur R. Goyne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158 | |
Dr. Renata Swanston, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 |