Doctor Name: | ALBERT LAMONT SPRINGER |
NPI Number: | 1205208394 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 95002116 |
Business Practice Address: | 16455 Main Street Suite 1 Hesperia, CA - 923453550 |
Business Phone Number: | 7609472161 |
Business Fax Number: | 7609473673 |
Mailing Address: | 16455 Main St Ste 1, HESPERIA |
State: | CA |
Postal Code: | 923453500 |
Phone Number: | 7609472161 |
Fax Number: | 7609473673 |
NPI Enumeration Date: | 10/28/2015 |
NPI Last Update Date: | 12/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 95002116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |