| Doctor Name: | LIN MARY ELSASSER |
| NPI Number: | 1093922486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3000 |
| Business Practice Address: | 412 Willow Creek Dr Folsom, CA - 956304810 |
| Business Phone Number: | 5593062410 |
| Business Fax Number: | |
| Mailing Address: | 412 Willow Creek Dr, FOLSOM |
| State: | CA |
| Postal Code: | 956304810 |
| Phone Number: | 5593062410 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | 3000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |