Provider Demographics
NPI:1790768927
Name:SWEET, RICHARD LANCE (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LANCE
Last Name:SWEET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:OB/GYN, SUITE 2500, ACC
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-6670
Mailing Address - Fax:916-734-6666
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:OB/GYN, SUITE 2500, ACC
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-6670
Practice Address - Fax:916-734-6666
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC35167207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C351670Medicaid
CA00C351670Medicaid
CAA35866Medicare UPIN