Provider Demographics
NPI:1457457160
Name:DRUMMER, H LYNN (DO, PHD)
Entity Type:Individual
Prefix:
First Name:H
Middle Name:LYNN
Last Name:DRUMMER
Suffix:
Gender:F
Credentials:DO, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2696 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-3418
Mailing Address - Country:US
Mailing Address - Phone:530-295-6100
Mailing Address - Fax:
Practice Address - Street 1:2696 NORTHRIDGE DR
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-3418
Practice Address - Country:US
Practice Address - Phone:530-295-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7014202D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH13369Medicare UPIN
CA020A70140Medicare ID - Type Unspecified